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Provider Credentialing Jobs in Virginia (NOW HIRING)

Armada Ltd

Credentialing Specialists

Richmond, VA

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Richmond, VA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Bon Secours

Coord Medical Staff

Richmond, VA · On-site

Maintains credentialing software database with provider information * Maintains the confidentiality of highly sensitive information regarding the Medical Staff, proceedings, disciplinary actions, and ...

Bon Secours

Coord Medical Staff

Richmond, VA

Maintains credentialing software database with provider information * Maintains the confidentiality of highly sensitive information regarding the Medical Staff, proceedings, disciplinary actions, and ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in Virginia

Provider Credentialing information

See Virginia salary details

$13

$24

$38

How much do provider credentialing jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for provider credentialing in Virginia is $24.15, according to ZipRecruiter salary data. Most workers in this role earn between $19.09 and $27.40 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

Is credentialing a hard job?

Provider credentialing can be challenging as it involves verifying qualifications, licenses, and certifications, often requiring attention to detail and organization. The process can be time-consuming and may involve navigating complex regulations and documentation, but it is a standard part of healthcare administration. Success in the role depends on strong communication skills and familiarity with credentialing software and procedures.

How to get into provider credentialing?

To enter provider credentialing, individuals typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with healthcare databases and compliance standards is often required.

What jobs pay $10,000 a month without a degree?

Provider credentialing roles typically do not pay $10,000 a month without specialized experience or certifications. High-paying jobs that can reach this level without a degree often include sales, real estate, or skilled trades like plumbing or electrical work, which rely on experience, skills, and licensing rather than formal education.

What are some common challenges faced in a Provider Credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

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

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

What jobs in the US pay 300,000 a year?

In provider credentialing, senior roles such as Credentialing Director or Manager can reach or exceed $300,000 annually, especially in large healthcare organizations. High-level healthcare executives, medical directors, and specialized physicians also often earn this level of compensation, typically requiring extensive experience, certifications, and leadership skills.
What are the most commonly searched types of Provider Credentialing jobs in Virginia? The most popular types of Provider Credentialing jobs in Virginia are:
What are popular job titles related to Provider Credentialing jobs in Virginia? For Provider Credentialing jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Virginia look for? The top searched job categories for Provider Credentialing jobs in Virginia are:
Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Virginia as of June 2026, with employment types broken down into 72% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $50,230 per year, or $24.1 per hour.
Credentialing Specialist I (3007) - Administration

Credentialing Specialist I (3007) - Administration

Tidewater Physicians Multispecialty Group

Newport News, VA • On-site

Full-time

Posted 12 days ago

Job description

Tidewater Physicians Multispecialty Group is actively seeking a Credentialing Specialist I to practice out of our Administration office in Newport News. Tidewater Physicians Multispecialty Group (TPMG) includes more than 220 primary care, specialty physicians and advanced practice clinicians in more than 75 locations throughout southeastern Virginia.
Prior experience in provider credentialing is preferred. The core hours are Monday through Friday 8:30 a.m. till 5:00 p.m.
The successful candidate must possess strong critical thinking skills, be thorough and accurate in their work processes, be organized and efficient, and have attention to detail.
Interested candidates are invited to submit their application. Come join the team!
Position Summary
As a Credentialing Specialist I, you must research, compile and maintain reports that detail medical staff accreditation, organizational membership and adherence to facility policies. This includes fact-checking with various certification boards and agencies. All information must be entered into a secure online database and updated regularly. This database should include each medical provider's DEA certificates, state licenses and malpractice insurance coverage. You will also regularly complete and submit staff credentialing or re-credentialing applications to the appropriate agencies and track when certifications are due to expire. In some cases, you might even be tasked with overseeing the auditing of a facility or individual practitioner. Therefore, staying current on state and federal regulatory requirements is vital to the effective execution of your duties.
Major Duties and Responsibilities:
  • Compiles and maintains current and accurate data for all providers. Database management of One App Pro software and CAQH, NPPES and VBOM.
  • Compiles and maintains current and accurate data for all providers. Database management of One App Pro software and CAQH, NPPES and NPDB, OIG, SAM and VBOM complaint management for all specialties and provider enrollment.
  • Working knowledge of provider credentialing and Re-credentialing applications; monitors applications and follows-up as needed.
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
  • Maintains corporate provider contract files with varies payers.
  • Working knowledge of hospital credentialing to include initial and reappointments. Coordinates and provides administrative support with initial credentialing and privilege delineation activities in accordance with the medical staff policies, bylaws, and rules and regulations so as to ensure that only qualified practitioners provide care at this hospital.
  • Initiates information collection, verification, and documentation processes for completed application per established hospital medical staff office policies and procedures.
  • When applicable and in accordance with medical staff bylaws, policies, and procedures, notifies all appropriate parties of any action taken.
  • Maintains knowledge of current malpractice requirements for credentialing providers.
  • Ensures practice addresses are current with health plans, agencies and other entities.
  • Processes applications for appointment and reappointment of privileges.
  • Audits health plan directories for current and accurate provider information. Update payer with current provider information.
  • Handle correspondence with providers including updates, mailings of applications, completed executed agreements
  • Tracks amp; submits licensure renewal requests, and ensures that all provider’s licenses are current
  • Prepares accurate and timely reports for clients and internal staff
  • Process all applications for credentialing, re-credentialing, initial appointments, and re-appointments for medical license and DEA certificates.
  • Responding to medical staff office requests in a timely manner.
  • Maintains CAQH online applications for providers as well as NPPES database.
  • Maintains and apply for new NPI information
  • Notifies Central Billing Office Manager with instructions for new providers’ billing
  • Maintains fee schedules and handle all requests for reimbursement
  • Maintains confidentiality of provider information.
  • Provides credentialing and privileging verifications.
  • Other duties as assigned.
Knowledge, Skills and Abilities
  • Excellent attention to detail is necessary.
  • Excellent interpersonal and verbal/written communication skills including letters, memos and emails.
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources. Knowledge of database management.
  • Skill in providing excellent customer service.
  • Ability to modify own working style, approach, or methodology to fit new/changing circumstances.
  • Ability to present information in an organized manner.
  • Ability to research and analyze data.
  • Ability to learn quickly and work independently with minimal supervision.
  • Ability to be consistent and follow up on all processes.
Education / Training / Requirements
  • High school diploma or equivalent required.
  • Bachelor’s Degree preferred.
  • 2 to 5 years of Multispecialty provider enrollment/medical staff credentialing required.
Physical Demands
  • Ability to stand and walk for limited periods of time.
  • Ability to sit for extended periods of time.
  • Ability to climb stairs occasionally.
  • Ability to enter data into a computer via a keyboard.
  • Ability to occasionally reach, bend, stoop and lift up to 20 lbs. *
  • Ability to grasp and hold up to 20 lbs.*
  • Ability to occasionally squat and lean over.
  • Ability to hear normal voice level communications in person or through the telephone.
  • Ability to speak clearly and understandably.
  • Basic vision, corrected.
  • Ability to see and understand data on a computer screen.
Working Conditions (environment and safety):
  • Work performed in office environment.
  • Involves frequent contact colleagues, clinical providers, and hospital medical staff service dept.
  • Work may be stressful at times.
  • Interaction with others is frequent and often disruptive. is frequent and often disruptive.
Success Factors
  • Alignment with Company Mission and Core Values
  • Excellent Time Management/Organized
  • Open Communication/Positive
  • Goal Driven
  • Excellent Customer Service
  • Juggles Multiple Priorities
  • Accuracy and Attention to Detail
TPMG is an equal opportunity employer committed to a diverse and inclusive workforce.

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