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Remote Credentialing Specialist Jobs in Reston, VA

Provider Credentialing Supervisor

WV · On-site +1

$25.63 - $34.28/hr

No Provider Credentialing Supervisor The Provider Credentialing Specialist serves as the ... Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ...

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... Specialist to join our growing team. In this fully remote role, you will bridge the gap between ... Monitor credential expiration dates proactively and correspond regularly with interpreters to ...

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Remote Credentialing Specialist information

See Reston, VA salary details

$14

$25

$40

How much do remote credentialing specialist jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote credentialing specialist 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 does a remote credentialing specialist do?

Remote credentialing specialists have the same job duties as in-house credentialing specialists; the main difference is they work from home or another location outside of the office. As a remote credentialing specialist, you verify the qualifications of the staff in healthcare organizations; you review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. This verification process ensures that doctors and other medical professionals provide their accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements. Remote credentialing specialists also update medical databases with information about a physician’s training or license and document when credentials must be renewed.

What does a remote credentialing specialist do?

A Remote Credentialing Specialist is responsible for verifying and maintaining the credentials of healthcare professionals to ensure they meet regulatory and organizational standards. Working remotely, they review and process applications, check licenses, certifications, and backgrounds, and work with medical staff to resolve any credentialing issues. This role is essential in healthcare organizations to ensure compliance and patient safety while enabling providers to practice legally and efficiently.

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

To thrive as a Remote Credentialing Specialist, you need a strong understanding of healthcare credentialing processes, attention to detail, and typically a background in healthcare administration or a related field. Familiarity with credentialing software, databases, and knowledge of industry standards such as NCQA or Joint Commission requirements are essential. Excellent organizational skills, clear communication, and the ability to work independently are crucial soft skills for remote success. These skills ensure accurate, timely credentialing of providers, compliance with regulations, and smooth healthcare operations.

What are some common challenges faced by remote credentialing specialists and how can they be addressed?

Remote Credentialing Specialists often encounter challenges such as coordinating with multiple departments, managing large volumes of documentation, and ensuring compliance with ever-changing regulations. Effective communication skills and strong organizational abilities are essential for staying on top of tasks and deadlines, especially when working remotely. Utilizing secure credentialing software and establishing clear processes for document sharing can help maintain accuracy and streamline collaboration with healthcare providers, HR teams, and regulatory agencies.

What is the difference between Remote Credentialing Specialist vs Remote Medical Biller?

AspectRemote Credentialing SpecialistRemote Medical Biller
Required credentialsHealthcare certifications, licensing knowledgeBilling and coding certifications (e.g., CPC, CCS)
Work environmentHealthcare facilities, insurance companies, remoteMedical offices, billing companies, remote
Employer industry usageHospitals, clinics, healthcare networksMedical practices, billing services
Common search intentCredentialing process, provider enrollmentBilling procedures, insurance claims

The Remote Credentialing Specialist focuses on verifying healthcare providers' credentials and ensuring compliance, while the Remote Medical Biller handles billing, coding, and insurance claims. Both roles often work remotely within the healthcare industry and require specialized certifications. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

How much does a remote credentialing specialist make in the US?

A remote credentialing specialist in the US typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer. Salaries may increase with certifications such as Certified Provider Credentialing Specialist (CPCS) and proficiency in credentialing software. Many roles also offer benefits like flexible schedules and remote work environments.

What skills are needed for remote credentialing specialist jobs?

Remote credentialing specialists need strong organizational skills, attention to detail, and knowledge of healthcare or insurance credentialing processes. Proficiency with computer software such as Microsoft Office and credentialing databases is essential, along with good communication skills for interacting with providers and insurance companies. Familiarity with regulatory requirements and the ability to work independently are also important for success in this role.

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

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

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

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

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

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

Provider Credentialing Supervisor

GDIT

WV • On-site, Remote

$25.63 - $34.28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


General Dynamics Information Technology rating

7.8

Company rating: 7.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

87th of 225 rated it services


Job description

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

MBI (T2)

Job Family:

Contact Center

Job Qualifications:

Skills:

Documentation Review, Document Reporting (Inactive), Operational Requirements, Standard Operating Procedure (SOP)

Certifications:

None

Experience:

3 + years of related experience

US Citizenship Required:

No

Job Description:

Provider Credentialing Supervisor

The Provider Credentialing Specialist serves as the operational subject matter expert (SME) supporting the design, implementation, and ongoing development of a government healthcare credentialing program. This role partners with government stakeholders, business teams, and technical resources to translate operational requirements into scalable credentialing workflows while ensuring compliance with CMS, NCQA, organizational policies, and regulatory requirements.

The position is responsible for implementation activities, provider credentialing operations, primary source verification (PSV), committee preparation, workflow documentation, and serving as the primary operational contact for government clients regarding credentialing processes.

Essential Responsibilities

  • Serve as the primary operational contact for government stakeholders regarding credentialing operations.
  • Support implementation activities for new credentialing processes and system enhancements.
  • Document business requirements and translate operational workflows for technical teams.
  • Perform initial credentialing and recredentialing activities.
  • Complete Primary Source Verification (PSV) for all required credentialing elements.
  • Review provider applications for completeness and compliance.
  • Prepare credentialing files for committee review.
  • Ensure credentialing files meet organizational, CMS, and NCQA standards.
  • Develop and maintain standard operating procedures (SOPs).
  • Participate in workflow design and process improvement initiatives.
  • Assist with User Acceptance Testing (UAT) during system implementations.
  • Identify workflow gaps and recommend operational improvements.
  • Collaborate with cross-functional teams including IT, compliance, operations, and government stakeholders.
  • Maintain credentialing documentation and audit readiness.
  • Monitor credentialing timelines and ensure compliance with established turnaround times.

#GDITWTCJOBS

The likely hourly rate for this position is between $25.63 - $34.28. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identify Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About our Work:

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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About General Dynamics Information Technology

Sourced by ZipRecruiter

GDIT is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense, and intelligence community. Its 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. The company operates across 50+ countries worldwide, offering leading capabilities in digital modernization, AI/ML, cloud, cyber, and application development.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Falls Church, VA, US