• Provider Operations Specialist

    Aston Carter (Naperville, IL)


    Hiring a Provider Operations Specialist!

    Job Description

    Join a dynamic team as a Provider Operations Specialist, where you will manage daily interactions with providers, focusing on emergency claims. You will oversee service request hubs, including Need Provider, Emergency requests, and White Glove items, ensuring claims are processed efficiently.

    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.

    + Manage inbound and outbound calls, provider paperwork, and profile maintenance.

    + Liaise with other teams for Workflow/Queue Management and overflow Provider Support.

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

    + Engage daily with potential new leads and provide exceptional support.

    + Document and track activities/requests in company systems.

    + Follow all policy and procedures for daily tasks.

    + Find providers to service claims when no in-network provider is available.

    + Answer and redirect calls as required and respond to email inquiries.

    + Interpret contract language related to AWR enrollments, contracts, and agreements.

    + Facilitate the completion of emergency/urgent work orders by coordinating with customers and contractors.

    + Research and arrange one-time agreements with contractors not currently under agreement.

    + Negotiate with contractors 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 claim status.

    + Prepare and respond to data requests and execute various configurations like Agent Desktop and CMS.

    Essential Skills

    + Proficiency in Microsoft Office Suite, including Excel and Word.

    + Customer service orientation and experience in operations coordination.

    + Ability to demonstrate past experience in a fast-paced environment.

    + Strong communication skills, both written and verbal.

    + Work Environment

     

    After one month of training, enjoy a hybrid schedule with remote work on Mondays and Fridays.

     

    Job Type & Location

     

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

    Pay and Benefits

    The pay range for this position is $24.00 - $26.00/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 Nov 12, 2025.

    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 [email protected] (%[email protected]) for other accommodation options.