Turnover, manual work and ineffable challenges

The healthcare industry is undergoing a seismic shift

Faced with rising patient demands and a rapidly evolving regulatory climate, healthcare teams are also bracing for macro-level challenges like nursing shortages compounded by primary care shortages.

At the operational level, payer enrollment and provider credentialing teams are grappling with similar stressors. With high turnover rates—51% reported in the past year—and a growing administrative burden, these inefficiencies affect care delivery, revenue and staff well-being.

As revealed in the 2025 State of Payer Enrollment and Credentialing report, these challenges are creating barriers for healthcare organizations striving to deliver seamless care. Here’s what we uncovered and how your organization can stay ahead.

Outdated credentialing and enrollment practices must end. Here's why:

33% of orgs report credentialing delays between 30 and 45 days

Manual workflows, outdated systems and redundant tasks weigh down teams and delay critical care delivery. 65% of C-level executives surveyed report that slow enrollment processes negatively impact revenue which points to one thing: It's time to eliminate the bottlenecks and adopt smarter, more agile solutions that empower healthcare teams to focus on what truly matters.

84% of enrollment workflows remain highly manual

When credentialing and enrollment processes are streamlined, it’s not just operations that improve—people thrive. By relieving staff of administrative burdens, healthcare organizations can enhance job satisfaction, retain top talent and support providers in delivering exceptional patient care.

[My top credentialing priority in 2025 is to] remove as much manual work as possible."

— Survey respondent

Automation in healthcare is the way forward

Healthcare operations are at a turning point. Our survey found that manual processes dominate—with 65% of teams doing things like verification tasks by hand. Teams can no longer afford to rely on manual processes that waste time, strain staff, and delay revenue. By embracing automation, organizations can create workflows that are not only faster but also more reliable and scalable, including:

• Collecting required information from providers
• Onboarding providers
• Verifying a provider’s credentials
• Creating a compliant credentialing file
• Generating and submitting rosters
• Monitoring a provider’s eligibility

Next steps for healthcare operations teams

Wondering what you can do to make sure you’re creating optimized processes and better experiences for your teams and providers? Here are a few things our survey respondents reported as being key priorities for them this year: 

• Reducing manual tasks like payer verifications and follow-ups.
• Improving visibility into enrollment workflows.
• Shortening turnaround times to accelerate revenue generation.
• Enhancing communication with payers to minimize processing delays.
• Automating primary source verifications.
• Reducing credentialing timelines to meet operational needs.
• Streamlining provider onboarding workflows.
• Using software to manage committee approvals and avoid delays.

If you’re struggling with managing increasing demands, a partner like Medallion can transform how you approach credentialing and enrollment. From reducing administrative burdens to automating time-intensive tasks, the right solution can empower your teams to focus on delivering quality care.

Our findings reveal that a thoughtful approach to operational improvements isn’t just beneficial for healthcare teams—it directly impacts patient outcomes and provider satisfaction. With the right steps, you can set your organization up for long-term success in an evolving healthcare landscape.

Gain unparalleled visibility and control over your credentialing processes

Medallion helps you eliminate inefficiencies, ensuring your teams have the insights needed to stay proactive and compliant.

Faster enrollment processes lead to faster outcomes

Medallion accelerates enrollment workflows, so your organization can unlock revenue and enable care delivery without delays.

Be in control and ready for regulatory evolutions

Medallion’s comprehensive solutions ensure you stay compliant and steps ahead in a rapidly changing healthcare landscape.

We invite you to read through the report’s as it has insights from over 500 professionals in the healthcare workforce. Visit our site to explore our collection of resources including how to Invest in Your Workforce with a Strategic Shift to Expert Partnership and Comparing the outcomes and costs of Medallion vs. traditional provider operations methods. Follow us on social media to stay updated on our latest product updates and upcoming events.