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Provider Credentialing Jobs in Virginia (NOW HIRING)

Riverside Health System Non-Providers

$21.30 - $27.68/hr

Notifies providers of regulatory documents (expirables) needed for maintenance of data base and credential files as appropriate to their responsibilities. * Ongoing review of all applications ...

Riverside

$21.30 - $27.68/hr

Notifies providers of regulatory documents (expirables) needed for maintenance of data base and credential files as appropriate to their responsibilities. * Ongoing review of all applications ...

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 ...

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 ...

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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 Aug 7, 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 provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

How to get into provider credentialing?

To enter provider credentialing, candidates 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 credentialing software and industry standards is beneficial. Entry-level roles often require a high school diploma or equivalent, with some positions preferring an associate's or bachelor's degree.

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 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 August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 18% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $50,230 per year, or $24.1 per hour.

Credentialing Specialist (Labor Pool)

Riverside Health System Non-Providers

$21.30 - $27.68/hr

Part-time

Posted 17 days ago

Job description

Newport News, Virginia

Hiring Range

$21.30 - $27.68/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.


Hours: Labor Pool (as needed)

Overview
Works under the direct supervision of the Medical Staff Coordinator. Primary responsibility is the processing of applications for appointment and/or clinical privileges within Riverside Health. Also responsible for ensuring the credentialing data is up-to-date, tracking expirations for renewal, ensuring compliance with regulatory requirements, and processing of affiliation verification requests.
What you will do

  • Completes, submits and follows up on the initial applications and reappointment applications with the applicants timely. Information is updated in the credentialing data base and made available on an as needed basis.
  • Maintains and updates appropriate databases for credentialed providers.
  • Maintains all accessed information in a confidential manner.
  • Notifies providers of regulatory documents (expirables) needed for maintenance of data base and credential files as appropriate to their responsibilities.
  • Ongoing review of all applications processed to ensure compliance with credentialing standards.
  • Responsible for responding to and sending requests for external affiliation verifications in a timely manner.


Qualifications
Education

  • High School Diploma or GED, (Required)


Experience

  • Provider Credentialing (Preferred)


Licenses and Certifications

  • Certified Professional Credentialing Specialist (CPCS) - National Association Medical Staff Services (NAMSS) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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