Credentialing Specialist RMG
Workplace injuries
Riverside Hospital Services in Newport News reported 6 work injuries and illnesses to OSHA for 2025 over 1,853,458 hours worked: 0.6 per 100 full-time workers, against 5.1 per 100 full-time workers at general hospitalsnationwide. With its hours, the best estimate leaning on similar sites is 0.8 per 100 full-time workers. None describe violence by a patient, resident or client in the case's own words. This is the employer's own report. Workplace injuries by employer.
Medicare rating of Riverside Regional Medical Center
Medicare gives Riverside Regional Medical Center 3 of 5 stars (Jul 2026; Virginia's hospitals average 3.7). 80% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 83% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · Virginia hospitals by rating.
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From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Patient access, front desk and medical coding jobs
About the job
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.
Overview
Functions as the primary liaison for all aspects of the onboarding process and Riverside Medical Group. Verifies credential documents (VA Medical License, Federal DEA, Board Certification and Visas), credentials and recredentials healthcare providers with contracted payors, reviews applications, monitors quality data and all applicable functions within the directive of quality control in the organization. Reports to the management staff at the organization and relies on instruction and pre-defined guidelines to perform various functions of the job, typically entering all information regarding providers into a database system of record. Recommends best practice or commonly used processes for quality improvement in credentialing.
What you will do
- Accurately complete and maintain the following Provider applications (both Initial and Re-credentialing/Renewals) as required (completion of applications includes conducting any necessary follow-up to ensure timely completion of process).
- Ensure timely Provider Onboarding to mitigate access issues for patients which helps to drive financial growth.
- Responsible for timely release of pending claims for newly credentialed providers to ensure financial stability for the Medical Group.
- Accurately builds, updates and maintains provider information electronically in all appropriate databases (Credentialing Database, CAQH, Echo, NPI, EMR/HER and patient accounting system) to ensure data integrity.
- Maintain accurate information in internal and external directories per CMS and other regulatory guidelines.
- Investigates problems related to credentialing, including but not limited to, payor participation status, supervising/collaborating physician agreements, billing, invalid place of service, CLIA and NPI denials issues. Responds within 2 business days. Researches legal sanctions regarding licensure to ensure compliance with Federal and State regulations. Finds and reports all issues prior to malpractice submission or upon discovery.
Qualifications
Education
- High School Diploma or GED, (Required)
Experience
- 2 years Active experience in credentialing/privileging (Required)
- in iCare/EPIC (Required)
Licenses and Certifications
- Certified Provider Credentialing Specialist (CPCS) (Preferred)
To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers .
From Riverside Health's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Riverside Health
Riverside Health hires nurses, nursing assistants and imaging techs in Riverside Regional Medical Center - Newport News, Newport Square Professional Center - Newport News and other towns in Virginia.
Hires in VirginiaPay on its listings: 94.3% of its open jobs state an hourly rate
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