Mfon Inyang
Tallahassee
Summary
Skilled in compliance, documentation, and issue resolution with strong analytical thinking and communication abilities. Experience in enhancing system performance and ensuring adherence to regulatory standards. Ready to leverage technical analysis and problem-solving skills as a quality assurance specialist.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Quality Assurance Specialist Temp
Centene Health Corporation
Maitland
11.2025 - Current
- Modified existing software to correct errors, allowed it to adapt to new hardware and to improve its performance.
- Identified program deviance from standards and suggested modifications to ensure compliance.
- Visited beta testing sites to evaluate software performance.
- Installed and configured recreations of software production environments to allow testing of software performance.
- Retrieved and manipulate data for analysis of system capabilities and requirements.
- Developed and specified standards, methods, and procedures to determine product quality and release readiness.
- Documented all test results including, defects, discrepancies and issues reported during testing cycle.
- Healthcare Support, Maitland, Florida
Prior Authorization Specialist Temp
Rem-X
Houston
09.2022 - 10.2025
- Maintained up-to-date knowledge of insurance policies and procedures related to prior authorization requirements.
- Reviewed medical records thoroughly before submitting them for preauthorization review process.
- Analyzed provider contracts for specific information related to prior authorizations or benefit coverage details.
- Collaborated with other departments to resolve issues quickly and efficiently in order to provide the best care for patients.
- Verified patient demographics against submitted documentation prior authorization submission process.
- Communicated with others to obtain and verify eligibility information.
- Ensured all documents are maintained according to HIPAA standards and regulatory requirements.
- Initiated contact with insurance companies when additional information is needed for prior authorization requests.
- Developed effective relationships with internal and external customers through consistent communication and follow-up.
- Evaluated patient's benefits eligibility using various databases and tools such as web portals, claims system.
- Demonstrated strong organizational skills by managing multiple tasks simultaneously while ensuring accuracy and quality of work.
- Utilized electronic files to conduct authorization reviews and updates.
- Stayed current with changes in rules, laws and procedures to maintain timeliness and accuracy.
- Performed data entry accurately into computer systems while adhering to established deadlines.
- Utilized critical thinking skills to analyze complex medical documentation for prior authorization requests.
- Houston, Texas
Compliance Specialist Temp
Rem-X
Houston
09.2021 - 09.2022
- Created training programs designed to educate staff on compliance issues and ensure adherence to established guidelines.
- Investigated potential violations of regulations or company policies; reported findings to senior management.
- Coordinated with external auditors during audits of the organization's systems and processes.
- Documented all aspects of the organization's compliance program including policies, procedures and processes.
- Ensured that all employees were aware of their responsibilities regarding corporate compliance matters.
- Conferred with or interviewed officials, technical, or professional specialists, or applicants to obtain information or to clarify facts relevant to licensing decisions.
- Verified documentation, implementation and communication of firm and regulatory policies and procedures.
- Analyzed current business operations for opportunities to improve compliance program efficiency.
- Houston, Texas
Quality Assurance Specialist
Department of Children and Families
Tallahassee
09.2018 - 09.2021
- Trained abuse counselors on best practices when conducting tests on products and services.
- Contribute to the development and implementation of Performance Improvement.
- Participate in the Risk Management program to identifying risk and addressing appropriately.
- Regularly review reports to monitor trends with utilization management and compliance to ensure maximum benefit to the company.
- Established metrics and tracked trends within QA process over time.
- Monitor survey clients and caregivers for satisfaction and report outcomes to upper management.
- Prepare files and service centers for audits and site visits.
- Review records for compliance with best practice.
- Plans for internal improvement.
- Tallahassee, Florida
Telecommuter Abuse Counselor
Department of Children and Families
Tallahassee
07.2014 - 08.2018
- Provides supportive assistance and community referral services to persons in need.
- Assign appropriate cases to county units or law enforcement.
- Maintained proper phone etiquette.
- Effective critical thinking in high pressure situations.
- Demonstrates mastery of operating procedure and statue.
- Research appropriate information systems to determine prior history to assist in safety and risk assessment.
- Utilize multiple systems and resources.
- Adaptable to change due to tentative statue.
- Provides accurate and appropriate information in response to allegations of abuse and neglect of children and vulnerable adults.
- Assess allegations and make accurate screening decisions in a professional manner while maintaining excellent customer service.
- Gathers pertinent information based on Chapter 39 statue for children and Chapter 417 of the statue for vulnerable adults.
- Research appropriate information systems to determine prior history to assist in safety and risk assessment.
- Tallahassee, Florida
Mental Health Aide/Nursing Assistant
Appalachee Center Hospital
Tallahassee
10.2008 - 05.2014
- Facilitated psychoeducational groups focusing on topics such as anger management and stress reduction techniques.
- Assisted in developing treatment plans for clients based on their individual needs.
- Created an environment that supported the therapeutic process through active listening skills and open communication.
- Utilized conflict resolution strategies when working with challenging individuals.
- Supported self-help activities within the community such as attending support groups or recreational activities.
- Adhered to ethical standards set forth by professional organizations regarding patient confidentiality.
- Actively participated in clinical meetings to discuss cases with colleagues.
- Implemented evidence-based practices such as Cognitive Behavioral Therapy in order to address specific symptoms.
- Demonstrated knowledge of various mental health disorders and treatments.
- Assessed suicidal risk levels in clients and developed safety plans accordingly.
- Provided compassionate and empathetic care to clients with mental health issues.
- Gathered information from family members, medical providers, and other professionals to assess client's condition.
- Maintained accurate records of client progress and follow-up appointments.
- Monitored patients' physical and emotional well-being and reported unusual behavior or physical ailments to medical staff.
- Charted patient observations by following prescribed procedures and standards.
- Carried out safety rounds and supervised activities.
- Observed patients for abnormal behavioral or physical signs.
- Restrained violent or suicidal patients using appropriate verbal or physical means.
- Collaborated closely with treatment team to appropriately coordinate client care services.
- Participated in recreational activities with patients, including card games, sports, and television viewing.
- Assisted patients in identifying, developing and pursuing goals for primary care.
- Restrained and aided patients as necessary to prevent injury.
- Observed patient behavior and reported changes to nursing staff.
- Accustomed patients to hospital routine.
- Provided patients with assistance in bathing, dressing, and grooming, demonstrating these skills as necessary.
- Disinfected rooms and furnishings to maintain safe and orderly environment.
- Accompanied patients to and from wards for medical and dental treatments, shopping trips, and religious and recreational events.
- Tallahassee, Florida
Education
Bachelor of Science (B.S.) - Molecular Biology
Florida Agricultural & Mechanical University
Tallahassee, FL, US05.2014
Associate in Arts (A.A.) -
Tallahassee State College
Tallahassee, Florida05.2010
Skills
- Effective communication skills
- Patient confidentiality compliance
- HIPAA compliance
- ICD-10 coding
- Critical thinking
- Insurance verification
- Insurance procedures
- Medical terminology
- Billing procedures
- CPT coding
- Patient referrals
- Medical coding
- Authorizations
- Medical appeals handling
- Claim research
- Claims processing experience
- Benefit coverage
- Physician order verification
- Attention to detail
- Problem-solving
- Multitasking
- Teamwork
- Customer service
- Organizational skills
- Adaptability and flexibility
- Reliability
- Effective communication
- Time management abilities
- Decision-making
- Computer proficiency
- Documentation skills
- Analytical thinking
- Interpersonal skills
- Confidentiality practices
- Electronic health records proficiency
- Excel Formulas Proficient
- UAT experience
- Strong PMP skills
- Investigation techniques
- Auditing processes
- Technical analysis
- Collaboration and communication
- Issue resolution
- Ethics management
- Software development
- Documentation review
- Reporting skills
- Test plan development
- Call monitoring
- Time management
- Multitasking Abilities
- Risk identification
- Risk assessment
- Compliance auditing
- Quality assurance
- Documentation management
- Sound decision-making skills
- Risk management
- Project management
- Problem-solving skills
- Regulatory compliance
Certification
- Health Insurance, 2025
- Medical Billing and Coding, FAMU, current
Timeline
Quality Assurance Specialist Temp
Centene Health Corporation
11.2025 - Current
Prior Authorization Specialist Temp
Rem-X
09.2022 - 10.2025
Compliance Specialist Temp
Rem-X
09.2021 - 09.2022
Quality Assurance Specialist
Department of Children and Families
09.2018 - 09.2021
Telecommuter Abuse Counselor
Department of Children and Families
07.2014 - 08.2018
Mental Health Aide/Nursing Assistant
Appalachee Center Hospital
10.2008 - 05.2014
Bachelor of Science (B.S.) - Molecular Biology
Florida Agricultural & Mechanical University
Associate in Arts (A.A.) -
Tallahassee State College