DME & Ortho Therapy EVA Manager

Position Summary

The DME & Ortho Therapy Eligibility, Verification, and Authorization (EVA) Manager is responsible for leading and overseeing all aspects of insurance eligibility verification, benefits confirmation, and prior authorization processes related to RomTech’s cardiac monitoring services. This role ensures timely, accurate, and compliant authorization workflows to support patient access to care, minimize delays, and optimize reimbursement.

About the role

Join us and make a difference every day. At RomTech, we are committed to improving patient outcomes through innovative medical technology and compassionate care. Our team works collaboratively to deliver cutting-edge solutions in cardiac monitoring and patient care.

Key Responsibilities

• Manage daily operations of the DME & Ortho Therapy EVA team, ensuring accurate and timely insurance eligibility checks, benefits verification, and prior authorization submissions.
• Establish and maintain standardized workflows and best practices for EVA processes related to cardiac monitoring services.
• Ensure authorization requirements are met prior to service delivery to reduce denials and delays in care.
• Hire, train, mentor, and supervise EVA staff.
• Monitor individual and team performance, productivity, and accuracy.
• Foster a collaborative, accountable, and patient-focused team culture aligned with RomTech’s values.
• Ensure compliance with payer requirements, CMS guidelines, and internal policies.
• Monitor authorization turnaround times, approval rates, and denial trends.
• Conduct audits and implement corrective action plans to improve accuracy and outcomes.
• Partner with clinical teams to align authorization requirements with medical necessity documentation.
• Collaborate with billing and revenue cycle teams to reduce denials and support clean claims.
• Work closely with operations, technology, and leadership teams to optimize EVA systems and workflows.
• Track and analyze EVA metrics including authorization approvals, denials, turnaround time, and payer-specific trends.
• Prepare regular reports and insights for leadership.
• Use data to drive process improvements and scalability.
• Identify opportunities to automate or streamline EVA workflows using technology and data.
• Support implementation of new tools, payer requirements, and cardiac service offerings.
• Stay current on evolving payer policies and industry best practices.