DME & Ortho Therapy EVA Specialist

Eligibility and Prior Authorization (EVA) Specialist - RCM Job Post Summary About Our Company: ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale-up of our orthopedic business. We are now leveraging our core technology, infrastructure, and first mover position to enter cardiology, followed by other adjacent markets. Having created this new lane, we have a unique opportunity to serve as the global leader in the business, technology, and science of recovery, and to bring life-changing help to many millions of people. Position Overview ROMTech is now looking for a detail-oriented Eligibility, Verification and Prior-Authorization (EVA) Specialist to join our growing Revenue Cycle Management (RCM) team. The EVA Specialist will play a key role in ensuring accurate, compliant, and timely verification, authorization for services rendered through our remote rehabilitation platform. The ideal candidate will have a thorough understanding of front-end revenue cycle management with first-hand knowledge of CPT codes, payer guidelines, and electronic health systems. Along with a proven track record of working in fast-paced, deadline driven healthcare environments. This is a full-time position based onsite at our Clearwater, FL corporate office with great potential for growth. Responsibilities Verify and confirm patient demographics (name, address, DOB).Check insurance eligibility and benefits.Confirm insurance referrals and authorizations as required.Ensure compliance with HIPAA, CMS, Medicaid, OIG, and other state/federal regulations.Assign appropriate CPT, HCPCS, and ICD-10-CM codes to all services.Ensure services are completed according to governmental and third-party payer guidelines.Accurately complete, correct, and process insurance verification and authorization.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 as needed.Assist with additional billing-related duties to support division needs.