DME & Ortho Therapy EVA Specialist
About The Position
ROMTech is seeking a detail-oriented Eligibility, Verification and Prior-Authorization (EVA) Specialist to join its growing Revenue Cycle Management (RCM) team. The specialist supports accurate, compliant, and timely verification and authorization for services delivered through ROMTech’s remote rehabilitation platform. The role requires front-end revenue cycle knowledge, familiarity with CPT codes and payer guidelines, and experience working in fast-paced, deadline-driven healthcare environments. This is a full-time, onsite position at ROMTech’s Clearwater, Florida corporate office, with potential for growth. The role supports the company’s medical technology and in-home rehabilitative care services, including its orthopedic business and related markets.
Requirements
- 1–3 years of recent experience in revenue cycle management, insurance verification and authorization, or a related role is preferred.
- Knowledge of payer requirements and denial management strategies.
- Strong proficiency in Microsoft 365.
- Ability to multitask and work efficiently in a fast-paced environment.
- Skill in using multiple systems to optimize workflows.
- Excellent time-management and organizational skills.
- Strong communication and collaboration skills; ability to work as a team player.
- Deadline-oriented and proactive approach to completing tasks.
- Ability to work across departments, including intake, customer service, and sales.
- Ability to sit at a computer terminal for an extended period.
- Ability to follow company policies and procedures consistently.
- Regular, predictable attendance is required.
Nice To Haves
- Knowledge of medical terminology and orthopedic, DME, RTM, and cardiology payer regulations.
- Experience verifying and authorizing remote therapy monitoring services.
- Understanding of the full revenue cycle process, including patient registration, insurance verification, charge capture, coding, billing, collections, and payment posting.
- Proficiency with Brightree, AdvancedMD, RingCentral, Slack, Zooper, iOMS, PayCom, PandaDoc, Microsoft 365, and ServiceNow.
- Typing speed of 60–70 WPM.
Responsibilities
- Verify and confirm patient demographics, including name, address, and date of birth.
- Check insurance eligibility and benefits.
- Confirm insurance referrals and authorizations as required.
- Ensure compliance with HIPAA, CMS, Medicaid, OIG, and other state and federal regulations.
- Assign appropriate CPT, HCPCS, and ICD-10-CM codes to services.
- Ensure services are completed according to governmental and third-party payer guidelines.
- Complete, correct, and process insurance verifications and authorizations accurately.
- Obtain single case agreements where required to secure payment from insurance companies.
- Collaborate with internal teams to gather missing or unclear documentation.
- Resolve claim rejections and resubmit claims as needed.
- Assist with additional billing-related duties to support division needs.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
