Open to opportunities

Argel Joseph Guevarra

@argeljosephguevarra

Provider Enrollment Supervisor specializing in compliant workflow optimization, payer coordination, and team performance.

Philippines

Message

What I'm looking for

I’m looking for a role where I can lead provider enrollment operations, strengthen compliance and data accuracy, and drive measurable improvements in turnaround times through clear process management, quality audits, and strong payer coordination.

I’m a Detail-oriented Provider Enrollment Supervisor with experience optimizing enrollment workflows, coordinating with major payer networks, and ensuring strict compliance with healthcare credentialing and industry standards. I lead daily provider enrollment operations, review and approve high-volume submissions and critical updates, and act as the primary escalation point for complex enrollment issues.

I’m known for structural efficiency and cross-functional collaboration—tracking team turnaround times (TAT), implementing targeted KPI tracking systems, and coaching teams through routine quality audits. Previously as a Provider Enrollment Specialist, I processed initial enrollments, re-credentialing, and maintenance updates while maintaining database integrity and following up with payers to reduce delays and denials.

Experience

Work history, roles, and key accomplishments

Current

Supervisor, Provider Enrollment

Current

Ventra Health Clark

Jan 2024 - Present (2 years 6 months)

Supervised daily provider enrollment operations across multiple states and payer portfolios, ensuring high-volume submissions met accuracy and compliance standards. Served as the primary escalation point for complex enrollment issues while tracking turnaround time KPIs and coaching team members.

Provider Enrollment Team Coaching Credentialing Lifecycle Management Process Improvement KPI Tracking Quality Assurance Escalation Management Payer Relations Medicare Medicaid Commercial Plans

Provider Enrollment Specialist

Ventra Health Clark

Jan 2023 - Jan 2024 (1 year)

Processed initial provider enrollments, re-credentialing applications, and maintenance updates for government and commercial insurance networks while maintaining provider records for database integrity and single-source-of-truth compliance. Conducted proactive payer follow-ups to reduce delays and ensured adherence to evolving payer guidelines and internal SOPs.

Provider Enrollment Credentialing Maintenance Data Integrity Payer Follow Up Compliance Government and Commercial Insurance Networks