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Credentialing Jobs in Reston, VA (NOW HIRING)

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How much do credentialing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for credentialing in Reston, VA is $25.34, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $28.75 per hour, depending on experience, location, and employer.

What is credentialing?

Credentialing is the process by which organizations verify the qualifications, experience, and professional standing of healthcare providers, such as doctors and nurses. This ensures that providers meet specific standards required to deliver care within a healthcare facility or insurance network. The process typically involves checking education, licenses, certifications, work history, and any disciplinary actions. Credentialing is essential for patient safety and regulatory compliance, and it is a key step before providers can practice or receive reimbursement from insurers.

What are the key skills and qualifications needed to thrive as a credentialing specialist, and why are they important?

To excel as a Credentialing Specialist, you need attention to detail, organizational skills, and knowledge of credentialing standards, usually supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software (such as CAQH or Verity), database management, and regulatory compliance systems is typically required. Strong communication, problem-solving abilities, and discretion stand out as essential soft skills in this role. These competencies ensure accurate provider verification, regulatory adherence, and smooth healthcare operations.

What are some common challenges faced by credentialing specialists when verifying provider information, and how can they be managed?

Credentialing specialists often encounter challenges such as incomplete or outdated provider documentation, slow response times from references, and varying requirements from different regulatory bodies. To manage these issues, it's important to maintain strong organizational skills, use credentialing software to track progress, and communicate clearly with providers about documentation needs and deadlines. Proactively following up and establishing checklists can help minimize delays and ensure compliance with industry standards.

What is the difference between Credentialing vs Medical Assistant?

AspectCredentialingMedical Assistant
Required credentialsCertifications, licenses, or accreditation for healthcare providersCertification (e.g., CMA), training programs, or on-the-job training
Work environmentHealthcare facilities, clinics, hospitals, insurance companiesDoctor's offices, clinics, outpatient facilities
Employer and industry usageUsed by healthcare providers and organizations to verify credentialsUsed by healthcare providers to assist with clinical and administrative tasks

Credentialing involves verifying healthcare providers' qualifications and licenses, ensuring they meet industry standards. Medical Assistants perform clinical and administrative duties under supervision. While credentialing focuses on verifying qualifications, Medical Assistants are involved in patient care and office tasks. Both roles are essential in healthcare but serve different functions.

How do you get into credentialing?

To get into credentialing, individuals typically need to complete relevant education such as a healthcare administration or related degree, gain experience in healthcare or administrative roles, and obtain certifications like Certified Provider Credentialing Specialist (CPCS). Strong organizational skills and attention to detail are essential for managing credentialing processes and maintaining compliance with industry standards.

Is credentialing a hard job?

Credentialing can be challenging as it involves detailed verification of qualifications, licenses, and certifications, often requiring strong attention to detail and organizational skills. The job may involve repetitive tasks and strict compliance standards, but it also offers clear procedures and tools to assist in the process.

What are the most commonly searched types of Credentialing jobs in Reston, VA?

The most popular types of Credentialing jobs in Reston, VA are:

What are popular job titles related to Credentialing jobs in Reston, VA?

For Credentialing jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Credentialing jobs in Reston, VA look for?

The top searched job categories for Credentialing jobs in Reston, VA are:

What cities near Reston, VA are hiring for Credentialing jobs?

Cities near Reston, VA with the most Credentialing job openings:

Credentialing jobs near you
Infographic showing various Credentialing job openings in Reston, VA as of August 2026, with employment types broken down into 4% Locum Tenens, 2% As Needed, 61% Full Time, 13% Part Time, and 20% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $52,709 per year, or $25.3 per hour.

Credentialing & Certification Coordinator

ROCS

Arlington, VA • Hybrid

Full-time

Posted 3 days ago

New

Job description

Why You Want to Work Here
This is a great opportunity to join a mission-driven professional organization in a detail-oriented, member-focused role. As a Credentialing & Program Coordinator, you will help support the day-to-day operations of professional certificate and credentialing programs while assisting members throughout the application, testing, renewal, and certification process.
This position is ideal for someone who enjoys organization, process-driven work, customer service, and managing important details behind the scenes. You will gain hands-on experience with professional credentialing programs, database management, program administration, and member services while collaborating with multiple teams across the organization.
Responsibilities
  • Support the day-to-day administration of professional credentialing and certificate programs
  • Review applications against established eligibility requirements and process qualified applicants
  • Assist with payment processing, refunds, renewals, reinstatements, and other program transactions
  • Coordinate candidate information and testing-related processes with external vendors
  • Process examination results and ensure candidates receive appropriate communications and notifications
  • Maintain accurate credentialing, certificate, and member records within organizational databases
  • Troubleshoot routine record and database issues and ensure information remains accurate and current
  • Respond to member questions regarding applications, program requirements, renewals, recertification, and other routine program matters
  • Prepare and maintain program materials including guides, FAQs, presentations, letters, forms, applications, and website content
  • Assist with monthly renewal, maintenance, verification, and audit processes
  • Follow established policies and procedures to ensure program requirements and deadlines are consistently met
  • Provide administrative support for committee and working group meetings, including preparing agendas, materials, correspondence, and meeting minutes
  • Assist with processing appeals and communicating final decisions according to established procedures
  • Test new database functionality and assist with maintaining accurate program processes
  • Provide backup support for membership and customer service operations as needed
  • Communicate program updates to internal staff, members, volunteers, and other stakeholders
  • Collaborate with internal departments and external partners to support effective program operations
  • Perform additional program and administrative duties as assigned
Requirements
  • Bachelor's degree or high school diploma with an equivalent combination of education, training, and relevant experience
  • 2+ years of experience in a professional business environment supporting programs, operations, administration, or customer service
  • Association, nonprofit, membership, credentialing, certification, or professional services experience is a plus
  • Strong attention to detail and ability to accurately follow established policies, procedures, and requirements
  • Excellent organizational and time-management skills with the ability to manage multiple deadlines and priorities
  • Strong written communication, editing, and proofreading skills
  • Excellent verbal and interpersonal communication skills with a customer-service mindset
  • Resourceful problem-solving skills and ability to research and resolve routine issues
  • Ability to work successfully both independently and collaboratively as part of a team
  • Experience working with databases, CRM systems, membership systems, or other record-management platforms preferred
  • Proficiency with Microsoft Office tools, including Teams, SharePoint, Word, Excel, PowerPoint, and Outlook
  • Comfortable learning new systems, processes, and program requirements
Fulltime, Hybrid
$50,000-$60,000