Job Title: Prior Authorization & Credentialing Specialist
Employment Type: Full-Time
Location: Accra, Ghana
Application Deadline: 10th May 2026

About the Role

We are seeking a detail-oriented and highly organized Prior Authorization & Credentialing Specialist to join our team in Accra. In this role, you will ensure that all services are properly authorized before delivery and that all provider credentials remain current and compliant. You will support clean billing processes, help prevent revenue loss, and ensure full adherence to payer requirements and regulatory standards.

We provide a structured and collaborative environment where accuracy, accountability, and compliance are valued and supported.

Key Responsibilities

• Obtain and manage prior authorizations for services before delivery to ensure payer compliance
• Verify and maintain up-to-date provider credentialing files across all required payers and networks
• Monitor credentialing expirations and initiate timely renewals to avoid service disruptions
• Coordinate with clinical, billing, and administrative teams to ensure seamless authorization workflows
• Maintain accurate documentation of all authorization and credentialing activities
• Support clean claim submission by ensuring authorization and credentialing requirements are met
• Identify and resolve authorization or credentialing issues that may impact reimbursement
• Communicate with insurance payers, providers, and internal teams to ensure compliance alignment
• Assist in audits and compliance reviews related to credentialing and prior authorization
• Recommend process improvements to strengthen revenue cycle efficiency and compliance

Requirements

• Associate or Bachelor’s degree in Healthcare Administration, Business Administration, or a related field
• Minimum of 2 years of experience in prior authorization, credentialing, or healthcare administration
• Strong understanding of payer requirements, insurance processes, and healthcare compliance standards
• Excellent attention to detail and organizational skills
• Strong communication and coordination abilities
• Ability to manage multiple tasks in a deadline-driven environment
• Proficiency in documentation systems and basic healthcare software tools
• Commitment to accuracy, compliance, and confidentiality

How to Apply

Apply online by clicking the application button below.

Application Deadline: 10th May 2026