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Provider Credentialing Jobs in Virginia (NOW HIRING)

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Provider Credentialing information

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$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:
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.

Licensed Marriage and Family Therapist (LMFT)

Aevum Behavioral Health

Arlington, VA

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago


Job description

About Us Aevum Behavioral Health is an innovative company delivering in-person, patient-centered mental health care to residents and seniors in skilled nursing facilities.

Founded and led by a psychologist, our unique vision and values have shaped a comprehensive treatment approach that prioritizes in-person connections and small caseloads. Our therapists provide personalized care and case management services, ensuring daily patient contact — an approach that’s truly unique in mental health care. We manage all administrative tasks (credentialing, scheduling, and billing) and invite our therapists to focus on what they do best—helping patients heal and thrive.

Why Therapists Choose Aevum Behavioral Health

Competitive Compensation and Benefits

  • Annual Full-Time salary: $80,000–$100,000.

  • Part-Time Salary: $50-$60 an hour.

  • Our salary is based on realistic expectations of the hours our therapists actually work, not on unrealistic fee-for-service models that assume long hours and offer only 1099 pay with no health insurance, benefits, or paid time off. At Aevum, you get a stable salary, full benefits, and paid time off.

  • Comprehensive benefits package (Part-Time: 32 hours/week and Full-Time Employees): Medical, dental, and vision insurance, PTO, and 401(k) with match.

  • Continuing Education Unit (CEU) reimbursement.

  • Paid malpractice insurance for peace of mind.

Flexible Scheduling to Fit Your Lifestyle

  • Therapists often diversify their work to adapt to the ever-changing mental health landscape. We offer flexible full- and part-time opportunities that provide a steady, reliable income while seamlessly accommodating your professional and personal commitments.

  • Full-Time or Part-Time Options: Choose a schedule that works for you—whether it’s 2 days a week or 5 days a week.

  • Work-Life Balance: Enjoy the flexibility to come in early, leave late, or work weekends if that fits your preference.

Personalized, In-Person Care with Daily Patient Contact

  • Build authentic connections by providing face-to-face therapy that fosters genuine relationships and allows you to follow your patients’ progress over time.

  • We provide comprehensive treatment that focuses on mental health, addresses psychological aspects of medical conditions, and assists with case management for effective care.

  • Enjoy a small, manageable caseload that prioritizes personalized treatment, daily patient interactions, and meaningful progress for your patients.

Comprehensive Administrative Support

  • We take care of matching and scheduling patients, so you can focus entirely on patient care.

  • Our team handles provider credentialing, insurance billing, and all administrative tasks, allowing you to focus solely on patient care without the hassle of paperwork.

  • No fee-for-service model: Enjoy stability and the freedom to prioritize patient outcomes. Full-time providers are paid an annual salary. Part-time providers are paid an hourly rate.

Primary Responsibilities:

  • Conduct in-depth assessments and create individualized treatment plans.

  • Provide psychotherapy to address mental health needs and psychological aspects of medical issues.

  • Support through case management: Help patients follow through on their treatment plans and connect with resources to promote their recovery and well-being.

  • Maintain detailed and timely documentation in our EHR system.

Why Aevum Behavioral Health Stands Out

  • In-Person, Patient-Centered Care: Therapists who value interpersonal relationships will thrive in our model.

  • Meaningful Patient Engagement: Build lasting connections and see the real impact of your work on patients’ lives.

  • Comprehensive Mental Health Treatment: Address mental health and medical challenges and provide case management to ensure comprehensive care and promote recovery.

  • Dedicated Administrative Support: Focus on patient care while our back-office team handles scheduling, billing, and credentialing.

Qualifications

  • Active and unrestricted license as a Licensed Marriage and Family Therapist in Virginia.

Apply Today

If you’re passionate about in-person therapy and believe in the power of connection to drive healing, Aevum Behavioral Health is the perfect place for you. Join our team and transform lives, one patient at a time.