Last updated: April 2026

A physician staffing company managing 100+ contracted doctors across 30+ hospitals and clinics was running its entire operation on spreadsheets and a basic scheduling tool that could not handle variable contracts, multi-site credentialing, or self-service physician workflows. PCG built a centralized platform covering scheduling, credentialing, PTO, payroll, facility invoicing, and communication in a single system accessible by administrators and physicians from any device. The result was a 75% reduction in manual scheduling corrections and the ability to scale to full operational capacity without adding administrative headcount.

At a glance

๐Ÿ‘จโ€โš•๏ธ 100+ physicians across 30+ hospitals and clinics managed in one platform

๐Ÿ“† Automated multi-site scheduling with real-time physician availability input

๐Ÿงพ Self-reported time and contract-based payroll with admin review before approval

๐Ÿ’ฐ Automated facility invoicing tied directly to schedules and contract terms

โœ… Credentialing management with automated expiration alerts for all providers

๐Ÿ“ฑ Mobile-optimized physician portal for time entry, credentials, and scheduling

๐Ÿฅ Facility portal for credential access, internal notes, and document sharing

โœ‰๏ธ Automated email and SMS alerts for shifts, credentials, PTO, and approvals

What was the problem and what did PCG build to solve it?

Physician staffing at scale across multiple facilities is operationally complex in ways that general-purpose tools cannot support. Variable contracts, multi-state licensing requirements, facility-specific credentialing, and the need for physicians to manage their own availability created a web of manual processes that broke down as the client's physician count grew.

โ“ The Problem
  • Manual spreadsheets and disconnected scheduling tools with no integration between them
  • Complex multi-facility scheduling done manually, error-prone and time-consuming
  • Variable physician contracts could not be handled by legacy payroll tools
  • Credentialing workflows were fragmented across systems, creating compliance risk
  • No PTO system, no time-tracking workflow, no mobile self-service portal for physicians
  • Inconsistent physician naming caused billing mismatches and manual reconciliation
  • Facilities billed manually with no link to actual shifts or contract terms
  • Administrative overhead grew with every payroll cycle due to lack of system alignment
๐Ÿ›  The Solution
  • Single centralized platform covering the full physician staffing lifecycle
  • Intelligent multi-site scheduling engine with conflict prevention and real-time availability
  • Physician self-service time entry via calendar interface with contract-based payroll calculation
  • Centralized credential repository with document uploads and automated renewal alerts
  • Auto-generated facility invoices aligned to billing cycles and contract types
  • Standardized physician identity across all modules, eliminating naming mismatches
  • Built-in PTO workflow with physician requests, admin approval, and automated notifications
  • Mobile-optimized portal for physicians and desktop access for administrators

What are the seven core features of the platform?

Each feature was designed around a specific operational failure in the client's previous workflow. The scheduling engine replaced a manual process that broke down whenever availability changed at the last minute. The payroll module replaced a spreadsheet calculation that could not handle the variation in contract types across 100+ physicians. Every module addresses a documented problem rather than a theoretical requirement.

๐Ÿ—“ Multi-Site Scheduling Engine
  • Facility-aware scheduling with automatic conflict prevention
  • Real-time physician availability input and calendar management
  • Support for recurring, on-call, short-term, and urgent shift types
  • Schedule visibility for administrators across all facilities simultaneously
โœ… Credentialing and Compliance
  • Centralized repository for licenses, DEA registrations, insurance, and facility-specific documents
  • Physician-managed document upload portal with version tracking
  • Automated renewal tracking with expiration alerts before deadlines
  • Credential dashboard with filters for expired, upcoming, and overdue items
๐Ÿ’ฐ Payroll and Facility Invoicing
  • Physicians self-report arrival and departure via calendar interface
  • Payroll calculated in real time from contract templates covering hourly, shift-based, on-call, and overtime rates
  • Administrators review and adjust hours before payroll approval
  • Auto-generated invoices sent to each facility, aligned to billing cycles and contract terms including cancellations and monthly billing
๐Ÿ“ฑ Physician Portal
  • Submit time, update credentials, manage availability, and view schedule from any device
  • Mobile-optimized for phones and tablets used during and between shifts
  • Self-service tools reduced administrative follow-up calls and emails
  • Physicians see their own schedule, PTO status, and credential expiration dates
๐Ÿฅ Facility Portal
  • Facility staff view physician credentials, schedules, documents, and assignment history
  • Internal notes with timestamps and user attribution for facility-level context
  • Direct collaboration with the staffing team for scheduling and credentialing decisions
  • Document sharing between facilities and the central staffing operation
๐Ÿ“ฃ Communication and PTO
  • Physicians request PTO through a built-in calendar form with reason and date range
  • Automated alerts notify the relevant administrator for approval routing
  • Physicians receive automated notification when PTO is approved or denied
  • SMS and email alerts for shift assignments, credential renewals, and time-off updates
๐Ÿ“Š Reporting Suite
  • Dynamic reports across payroll, credentialing, scheduling, PTO, and billing
  • Export-ready formats for accounting review, compliance audits, and operational planning
  • Real-time financial and operational visibility for management
  • Custom filters by facility, physician, date range, and contract type

What were the measurable results after deployment?

๐Ÿ“‰ 75%
Fewer manual scheduling corrections after launch
๐Ÿ‘จโ€โš•๏ธ 100+
Physicians managed across 30+ sites with no added admin headcount
๐Ÿ’ฐ 0
Manual invoices generated โ€” all facility billing automated from shift data
โœ… 100%
Credential compliance maintained across all providers and sites
โฑ Faster staffing decisions from real-time data access and direct facility collaboration through the portal
๐Ÿ“ฑ Improved physician engagement through mobile self-service tools that reduced back-and-forth with administrators
๐Ÿงพ Accurate payroll every cycle built directly from physician time logs and contract rules without manual reconciliation
๐Ÿ“Š Full operational visibility with real-time reports across all key staffing, financial, and compliance metrics

What were the key technical innovations in this build?

๐Ÿ—“ Multi-site scheduling logic tailored to shift rotations, contract nuances, and real-time physician availability across all facilities simultaneously.
๐Ÿงพ Physician-led time entry with automated contract-based payroll. No manual timesheet processing. The contract template governs the calculation. The administrator's role shifts from data entry to review and approval.
โœ… Real-time credentialing with document uploads and expiration alerts. Physicians manage their own documents. The system tracks what expires when and alerts before the deadline, not after.
๐Ÿ“ฃ Fully integrated PTO workflow with physician request forms, approval routing, automated messaging, and schedule impact visibility for administrators.
๐Ÿ’ฐ Facility-specific invoicing with flexible billing cycle support covering cancellations, overtime, and monthly billing โ€” all generated from actual shift and contract data rather than manual entry.
๐Ÿ” Standardized physician identity across all modules. Naming inconsistencies that previously caused billing mismatches and reconciliation delays were eliminated at the data architecture level.

Technology stack

ComponentTechnology
๐Ÿ–ฅ๏ธ FrontendRazor Pages, JavaScript, Bootstrap
โš™๏ธ Backend.NET Core / C#
๐Ÿ—„๏ธ DatabaseSQL Server, Stored Procedures, Views
โœ‰๏ธ Email and SMSSMTP for email alerts; Twilio for SMS notifications on shifts, credentials, and PTO
๐Ÿ” SecurityRole-based access control across physician, administrator, and facility roles; encryption at rest
โ˜๏ธ HostingOn-premise IIS with SQL Server

Frequently Asked Questions

Each physician's contract is stored as a template in the system defining their rate structure: hourly rates, shift-based flat fees, on-call rates, overtime thresholds, and any cancellation policies. When a physician submits time, the system applies the correct contract template automatically. An hourly physician and a shift-based physician logging the same calendar entry produce different payroll calculations because the system knows which contract governs each one. Administrators review the calculated amounts before approval rather than performing the calculation themselves.
The system tracks every credential's expiration date and sends automated alerts to both the physician and the relevant administrator before the expiration. Alert timing is configurable, typically at 90 days, 60 days, and 30 days before expiration. The credentialing dashboard shows all credentials filtered by status: current, expiring soon, and expired. Physicians upload renewal documents directly through their portal. The administrator reviews and updates the credential status once the new document is verified.
Invoices are generated automatically from three data sources: the physician's approved time log for the billing period, the contract terms governing that physician's engagement at that facility, and the facility's billing cycle configuration. The system applies the correct rates, includes cancellation fees where applicable, and formats the invoice for the facility's billing cycle. Invoices are generated without manual data entry. The administrator's role is to review before the invoice is sent, not to build it.
Yes. The credentialing module tracks licenses by state, so a physician licensed in three states has three license records with independent expiration tracking. Facilities are assigned to states, and the system flags when a physician is scheduled at a facility in a state where their license is missing or expired. The credential dashboard can be filtered by state, facility, or physician to give compliance staff a current picture of coverage gaps before they become scheduling problems.
The physician portal is fully mobile-optimized and accessible through any browser on any device without requiring app installation. Physicians log time, view their schedule, manage credentials, and submit PTO requests from their phone between shifts. The interface is designed for the specific tasks physicians perform rather than being a desktop application scaled down for mobile. No VPN or special network access is required.
Yes. The core architecture handles any staffing model where contractors or employees work across multiple client sites under variable contract terms and where credentialing or certification tracking is required. The specific credential types, contract structures, billing cycles, and notification rules are all configurable rather than hardcoded to physician staffing. PCG has built similar platforms for nursing staff, industrial safety personnel, and inspection and testing firms where the operational requirements follow the same pattern.
About the Author
Allison Woolbert, CEO and Senior Systems Architect, Phoenix Consultants Group

Allison has been building healthcare staffing and scheduling systems since the early 1980s, predating PCG's founding in 1995. The physician staffing platform described in this case study represents one of the more operationally complex builds in PCG's healthcare portfolio: the combination of multi-site scheduling, credentialing compliance, variable contract payroll, and facility billing in a single integrated system required getting the data architecture right before any module was built.

The operational lesson from this engagement applies to any multi-site staffing operation: the administrative overhead does not scale with physician count when the data is structured correctly from the start. One system, one source of truth, and a clear separation between what physicians manage themselves and what administrators oversee. That division is what allowed the client to grow from their original physician count to 100+ without adding headcount to the administrative team.