.png)
Credentialing teams are under pressure to onboard providers quickly, all while maintaining high standards of accuracy and compliance. As a healthcare leader, you know that it’s no secret that credentialing demands are set to increase with NCQA’s updated 2025 credentialing standards.
However, the challenge isn’t just about speeding up processes to meet the new credentialing timelines—it’s about building better systems to save time and empower your team.
With the right tools, you can accelerate credentialing turnaround times while enhancing team morale. While it may sound too good to be true, credentialing and monitoring solutions that automate tedious, manual work can enhance team satisfaction.
The Day-to-Day Reality of Your Credentialing Staff
Without automation software, the day-to-day tasks of your credentialing team look a lot like they did a decade ago. Your credentialing staff spends their day contacting providers, gathering missing information, verifying primary sources through licensing board websites, and compiling credentialing packets. Credentialing a single provider can take hours—sometimes even weeks—when you account for delays, back and forths, and missing information.
Then, it’s a rinse and repeat.
Layer in the pressures of provider network growth and stricter verification timelines, and one can see that there’s limited time for more strategic, morale-boosting initiatives. Moreover, if leadership isn’t actively working toward credentialing optimization, your staff is likely too bogged down to do so either.
As you may have guessed, the most effective way to increase productivity while giving your team strategic breathing room is credentialing automation software. Adopting the right technology doesn’t just improve credentialing speed, it frees up your team to focus on rewarding tasks that require their expertise and critical thinking.
Leveraging Credentialing Automation to Boost Team Satisfaction
While credentialing and provider network monitoring solutions are recognized levers for growth and expansion, they’re often overlooked as a way to engage and empower your team.
Dara McDaniel, Associate Director of Credentialing, shared that one impact of Humana Dental leveraging Verifiable for in-house credentialing automation was deepened team satisfaction.
Dara explains, “There's also been a sense of accomplishment within my team. I've noticed a sense of employee satisfaction because now they're fully credentialing specialists. They're able to credential the provider from the whole end-to-end process. We’ve given them a little bit more empowerment to do their jobs.”
With the upcoming changes to the NCQA guidelines, many healthcare organizations are forced to reevaluate their operations and ask, “How can we be a more effective credentialing team?”. As verification timelines are expected to halve, there’s a critical decision to be made around team efficiency and job satisfaction. After all, just piling more onto your team isn’t going to cut it.
Here are two key strategies to consider:
Option 1: Take Back the Work from a CVO
If your organization currently outsources credentialing to a CVO, you might find that the quality of their work doesn’t always meet your standards. In-house medical credentialing specialists spend significant time managing the CVO and conducting quality assurance. By bringing credentialing back in-house with credentialing automation, you can take full ownership of the process, the data, and the turnaround times.
This eliminates the need for constant QA, ensuring that credentialing is done right and your team has a deeper responsibility over the whole process.
Option 2: Access a Better CVO Driven by Automation Technology
If in-house credentialing isn’t feasible, consider partnering with a more advanced CVO that utilizes automation technology. A CVO equipped with the latest automation tools can deliver faster, more accurate results, reducing the burden on your in-house team.
This option allows you to maintain the benefits of outsourcing while still ensuring that your credentialing process meets the new NCQA standards. This also frees your credentialing staff up to take on more mission-driven, gratifying work (which is the cornerstone of employee satisfaction and engagement).
Get Visibility into Your Team with Better Reporting
As a credentialing leader, having clear and actionable insights into your team’s activities is essential for managing and improving operations. Credentialing automation plays a critical role by centralizing network data into a single platform. This single source of truth allows you to generate real-time reports that provide an overview of your network and your credentialing team's performance.
With the right automation and reporting, you can monitor key metrics such as the turnaround time for specific credentialing tasks, identify bottlenecks, and track the progress of individual team members. A top-line view—paired with the ability to assign roles—helps supervisors and specialists understand their responsibilities. It also leaves more space for individual team members to develop and take on high-value work.
Simply, better reporting offers greater visibility and the ability to manage daily operations on stricter timelines. Accurate credentialing data can inform strategic decisions, improve team efficiency, and ensure compliance with industry standards.
Free Up Time to Focus on High-Impact Activities
To truly optimize your credentialing operations and team, you must liberate your team from time-consuming, repetitive tasks. Credentialing automation, whether in-house or with a leading CVO, helps you gain time (and team morale) back by:
- Increasing Team Capacity: Automation handles routine tasks like data entry, primary source verification, packet compilation, and network monitoring, to allow your team to focus on more complex, strategic work.
- Enhancing Accuracy: Automating repetitive tasks reduces the likelihood of human error, which minimizes the need for costly, time-consuming rework while reducing compliance and regulatory risks.
- Reducing CVO Management Time: Automation can streamline the quality assurance process, reducing the time your team spends managing, correcting, and reporting on outsourced work.
- Promoting Professional Development: With more time available, your team can engage in professional development, such as learning new skills and contributing to initiatives that are individually and organizationally rewarding.
To meet the growing demands on your credentialing team, it may be time to embrace credentialing automation. Streamlined credentialing and monitoring solutions have the power to improve credentialing times, reduce redundancies, and free up your team to focus on high-impact work.
See how Verifiable’s credentialing and monitoring solutions can supercharge your credentialing team, today. Let's talk!
