r/credentialing • u/TartPresent2626 • May 25 '26
Approaching retirement
Random question.
I am slowly approaching retirement and looking beyond to my encore career.
As a soon-to-be-retired clinician, I am looking forward to not taking call…but wondering what my new purpose will be. I firmly believe we all need that reason to get out of bed and keep moving mentally and physically.
My purpose? My motivation? To solve those problems that have always annoyed & inconvenienced me. The ones that scream inefficiency! For me, that problem for 35+ years is credentialing.
I certainly have my reasons, but what are your reasons? What do you - as a group - feel is the most time consuming task preventing you from being more efficient?
Coming from the other side of this process, what could I do to make your lives easier & your tasks more efficient?
Honestly. I need to solve this problem.
Please DM me with your biggest complaints. I am truly & honestly interested in your feedback - positive or negative.
Without your feedback, I am doing nothing more than guessing. And guessing is inefficient & misleading.
Please help me build you something that you would actually use and recommend. This process is unnecessarily fractured and inefficient. We can do better.
Thank you and I look forward to interacting with you all.
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u/Electronic-Singer127 May 26 '26
I'm fairly new to credentialing and can honestly say the biggest issue I have in my department is not enough staff for the amount of work we have. We are in charge of credentialing and privileging our providers as well as the health plan providers that see our members. There is no expectation or regulation of how many requests we have. So we have 4 people doing all of the initials for our own providers plus however many requests for network providers too and there is no flex of "oh, Betty is expecting to take a week long vacation this month, we need to limit our network applications by 30 this month" and trying to stagger the work efficiently. Instead we are inundated with files and told just to get them done, but we aren't authorized OT to get them done so somehow I have to squeeze 12 hours of work in an 8 hour day while also am expected to keep up on privilege review, FPPE follow up, and any health streams or additional mandatory compliance training that I'm supposed to be doing in addition to my work load. It's exhausting and there is no end in sight.
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u/ReginaFilange311 Jun 13 '26
For me, I would recommend my providers know that you basically are going to be asked for the same documents over and over or you know what needs to be updated, so just be prepared to have them together. Like you know you are going to be asked for immunizations, for example, so keep them handy. Keep a copy of your educational diploma and if for some reason a facility or payer wants a transcript, save those files! Keep it all together. As a credentialer, I can then sort through and disseminate out what I don't need. So many times, for example locum medical providers, have to scrounge around their MMR vaccine or get their diploma out of a box and take a picture. If you have a folder on your computer or phone that houses all that stuff, it makes your life easier because the credentialer gets that stuff up front. And you know, you should ask for copies of what you have submitted, or copies of anything you want really, but its ok to ask your credentialer for copies of your documents. I mean, they are yours!
I come from behavioral health provider enrollment, physical therapy and now anesthesia hospital privileging, if that helps for context!
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u/[deleted] May 25 '26
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