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Medical Credentialing Jobs in Virginia (NOW HIRING)

Riverside

$21.30 - $27.68/hr

... credentials, skills, internal equity, and business needs ... Hours: Labor Pool (as needed) Overview Works under the direct supervision of the Medical Staff ...

Riverside Health System Non-Providers

$21.30 - $27.68/hr

... credentials, skills, internal equity, and business needs ... Hours: Labor Pool (as needed) Overview Works under the direct supervision of the Medical Staff ...

Trinity Health

$16.50 - $21/hr

CREDENTIALS/LICENSURE: MA-Non-Credentialed I: MA eligible to attain Medical Assistant Certification is desired, or EMT with current/active license in the State of Michigan, or Paramedic following ...

Trinity Health

$16.50 - $21/hr

CREDENTIALS/LICENSURE: MA-Non-Credentialed I: MA eligible to attain Medical Assistant Certification is desired, or EMT with current/active license in the State of Michigan, or Paramedic following ...

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All JobsMedical Credentialing JobsMedical Credentialing Jobs in Virginia

Medical Credentialing information

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$16

$25

$42

How much do medical credentialing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for medical credentialing in Virginia is $25.20, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $28.37 per hour, depending on experience, location, and employer.

What is medical credentialing?

Medical credentialing is the process of verifying the qualifications, experience, and professional standing of healthcare providers before they are allowed to work at a medical facility or participate in insurance networks. This involves checking education, training, licensure, certifications, and work history. Credentialing helps ensure that patients receive care from qualified and competent professionals, and it is required by hospitals, clinics, and insurance companies to maintain high standards of care.

How long does it take to become a medical credentialing specialist?

Becoming a medical credentialing specialist typically requires completing a postsecondary certificate or associate degree, which can take from several months to two years. Gaining experience with healthcare documentation, insurance processes, and certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job readiness and may influence the time to enter the field.

How to get into medical credentialing?

To enter medical credentialing, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or certifications in healthcare administration. Gaining experience with medical records, insurance processes, or healthcare compliance, along with strong organizational and communication skills, can improve job prospects. Certification programs in medical billing and coding can also enhance qualifications for credentialing roles.

What are the key skills and qualifications needed to thrive in medical credentialing, and why are they important?

To excel in Medical Credentialing, you need strong organizational skills, attention to detail, and knowledge of healthcare regulations, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MedTrainer), as well as understanding of accreditation standards and payer enrollment processes, is typically required. Excellent communication, problem-solving, and time management abilities help professionals manage complex documentation and interact effectively with healthcare providers and organizations. These skills ensure accuracy, compliance, and timely processing, which are crucial for maintaining provider eligibility and organizational reputation.

What is the difference between Medical Credentialing vs Medical Billing?

AspectMedical CredentialingMedical Billing
Required CredentialsCertifications in healthcare administration, compliance, or related fieldsKnowledge of coding, billing procedures, and insurance policies
Work EnvironmentHealthcare facilities, insurance companies, credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, clinics, physician practicesMedical practices, billing services, insurance companies

Medical Credentialing involves verifying healthcare providers' qualifications and licensing to ensure compliance, while Medical Billing focuses on processing insurance claims and managing payments. Both roles are essential in healthcare operations but serve different functions within the industry.

What are some common challenges faced in a medical credentialing role, and how can they be managed effectively?

Professionals in medical credentialing often encounter challenges such as tracking multiple provider applications, staying current with varying state and insurer requirements, and managing tight deadlines for renewals and verifications. To handle these, it's important to use organized tracking systems, regularly update process checklists, and communicate proactively with providers and payers. Building strong attention to detail and maintaining up-to-date knowledge of industry standards can help avoid delays and ensure compliance.

Is medical credentialing a hard job?

Medical credentialing can be challenging due to the detailed review of healthcare providers' qualifications, licenses, and certifications. It requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job often involves managing multiple applications and deadlines, which can be demanding but manageable with experience and proper systems in place.

What does a medical credentialing specialist do?

A medical credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, certifications, and work history to ensure compliance with insurance companies and regulatory agencies. They manage the credentialing process, maintain accurate records, and often use specialized software to track provider credentials. Attention to detail and knowledge of healthcare regulations are essential for this role.
What are the most commonly searched types of Medical Credentialing jobs in Virginia? The most popular types of Medical Credentialing jobs in Virginia are:
What cities in Virginia are hiring for Medical Credentialing jobs? Cities in Virginia with the most Medical Credentialing job openings:
Medical Credentialing jobs near you
Infographic showing various Medical Credentialing job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $52,414 per year, or $25.2 per hour.

Medical Credentialing Clerk, Norfolk, VA

ASP Web Solutions

Norfolk, VA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

A DOD SECURITY CLEARANCE IS REQUIRED TO FILL THIS POSITION
Medical Credentialing Support Technician, Norfolk, VA
Skills & Abilities:
  • Must be able to organize work, respond to crisis situations, use judgment in the decision-making process, interface with all facilities to which U.S. Fleet Forces Command supplies healthcare providers and cooperate with military and civilian members of the staff.
  • Must have knowledge of the medical and dental training system, both foreign and domestic, to include differing requirements per discipline and various levels of training. Formal baccalaureate and post-graduate degree and certificate education programs, Internships, Residencies and Fellowships for: All Medical physician specialties recognized by the American Medical Association, all Dental specialties recognized by the American Dental Association, Physicians Assistants, Psychology, Social Work, Nursing, Advance Practice Nursing, Nurse Anesthetist, Audiology, Pharmacy, Physical Therapy, Dental Hygiene, Optometry, Dietitian.
  • A minimum of one-year experience being able to determine the validity of certification and/or licensure requirements and levels at which they are conferred/attained for various medical and dental clinical support specialties.
  • Experience with establishing credentials review and privileging processes.
  • Experience with pertinent internal and external requirements for credentials and privileges (DoD,BUMED and Fleet directives).

Experience
  • Must have a minimum of two years direct experience as a Medical Records Assistant

Education:
  • High School Diploma (minimum)
  • Associates degree (preferred)

Benefits:
  • Two Week Vacation
  • Paid Medical/Dental/Vision
  • 401k
  • Paid Federal Holidays

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