Why Outsourcing Credentialing Makes Sense for Growing Practices
Let’s be real—credentialing isn’t exactly the highlight of anyone’s day. It’s tedious, confusing, and if you mess it up, it can cost you big time. But as your practice grows, so does the paperwork mountain. More providers. More payers. More headaches.
That’s where outsourcing comes in. And no, it’s not just for mega hospital systems. Whether you’re a solo doc expanding to a group or a multi-specialty clinic scaling across states, outsourcing credentialing can be your secret weapon.
1. You Get to Focus on Growth, Not Paperwork
In-house credentialing often means pulling someone from billing or HR to ‘handle it.’ But credentialing isn’t a side gig—it’s a full-time job. And when it’s not done right, your revenue takes the hit.
Outsourcing = freedom. You and your team can focus on hiring, marketing, patient care, and expansion—while credentialing experts handle the forms, follow-ups, and payer phone tag.
🎉 Client Success: A growing OB/GYN group in Texas tried to credential three new providers in-house. Six months later, only one was enrolled—and they were losing $40K/month in denied claims. After outsourcing, all three were credentialed in under 60 days.
2. You Tap Into Specialized Expertise
Credentialing isn’t just about filling out forms. It’s about knowing what each payer wants, how to escalate when things stall, and how to avoid red flags that trigger delays.
A good credentialing vendor has relationships with payers, knows the quirks of each network, and stays on top of regulatory changes so you don’t have to.
3. You Save Time (and Sanity)
Credentialing timelines are brutal. Some payers take 90+ days. And if you miss a document or forget to follow up? You’re back at square one.
Vendors have systems, software, and staff dedicated to keeping things moving. They track every submission, follow up relentlessly, and keep you in the loop.
💡 Tip: Ask your vendor if they offer a real-time dashboard or reporting. Transparency is key.
4. You Actually Save Money
Yes, outsourcing costs money. But so does hiring and training credentialing staff, fixing denied claims, and losing revenue from delayed enrollments.
When you factor in the cost of delays, staff turnover, and missed deadlines, outsourcing often pays for itself—and then some.
5. You’re Ready to Scale Without the Growing Pains
Adding new providers? Expanding to new states? Contracting with more payers? That’s a credentialing avalanche waiting to happen.
Outsourcing gives you scalable support. Whether you’re onboarding one provider or twenty, your vendor can flex with your needs—without burning out your internal team.
✅ Quick Checklist: Is It Time to Outsource?
☐ You’re adding new providers regularly
☐ You’ve missed credentialing deadlines before
☐ Your billing team is handling credentialing (and hating it)
☐ You’ve had claims denied due to enrollment issues
☐ You want to grow without bottlenecks
Final Thought: You Don’t Have to Do It All
Credentialing is critical—but it doesn’t have to be your burden. Outsourcing gives you peace of mind, faster enrollments, and more time to focus on what really matters: growing your practice and caring for your patients.
Need help? We specialize in credentialing and enrollment for growing practices just like yours. Let’s chat about how we can make your life easier.