Provider Operations Specialist

Aston Carter is hiring for a Provider Operations Specialist!

Responsibilities

• Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched.

• Process provider inquiries and assist with special handling claims and service follow-up.

• Handle inbound and outbound calls, manage provider paperwork, and maintain provider profiles.

• Act as a liaison with other teams for Workflow/Queue Management and Provider Support overflow.

• Develop and nurture relationships with key vendors, customers, and team members.

• Engage daily with potential new leads and provide impeccable support to each individual.

• Document and track various activities and requests in company systems.

• Follow all policies and procedures for daily tasks.

• Locate a provider to service claims when no in-network provider is available.

• Answer incoming calls, make outbound calls, and redirect calls as required.

• Respond to email inquiries and interpret contract language regarding AWR enrollments, contracts, and agreements with providers.

• Facilitate emergency or urgent work orders by coordinating with both customers and contractors.

• Research contractors not currently under agreement and arrange one-time agreements to complete work orders.

• Negotiate with contractors to reach agreeable terms for unusual, inconvenient, or urgent work orders.

• Dispatch work orders following established guidelines.

• Proactively review open claims and follow up with contractors on open work orders.

• Respond promptly to emails from customers and other departments regarding the status of open claims.

• Prepare and respond to data requests and execute work orders, service orders, error reports, set-ups, etc., in various configurations such as Agent Desktop and CMS.

Qualifications

• 3+ years of recent Customer Service, Operations, or Claims experience within an office environment.

• Ability to handle complex situations and be a problem-solver.

• Proficiency in Microsoft Office suite, including Excel and Word.

• Excellent communication and follow-up skills.

• Ability to work well in a fast-paced environment.

• Adaptability and a strong work ethic.

• Salesforce CRM Experience (preferred).

Work Environment

The work schedule includes shifts from 8:30 AM to 5:00 PM or 9:00 AM to 5:30 PM. After one month of training, the position offers a hybrid work model with work-from-home days on Mondays and Fridays.

The office is a modern and large corporate environment with multiple floors.

Job Type & Location

This is a Contract to Hire position based out of Naperville, IL.

Pay and Benefits

The pay range for this position is $23.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Naperville,IL.

Application Deadline

This position is anticipated to close on May 12, 2026.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com ( astoncarteraccommodation@astoncarter.com) for other accommodation options.