EVA Specialist

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.

Requirements

Thorough understanding of front-end revenue cycle management with first-hand knowledge of CPT codes, payer guidelines, and electronic health systems.

Proven track record of working in fast-paced, deadline-driven healthcare environments.

Full-time position based onsite at our Clearwater, FL corporate office with great potential for growth.