DME & Ortho Therapy EVA Manager

ROM Technologies, Inc.; Clearwater (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

RomTech in Clearwater, FL seeks a DME & Ortho Therapy EVA Manager to lead eligibility verification, benefits checks and prior authorizations for cardiac monitoring services. You will standardize EVA workflows, ensure timely approvals, and mentor a high-performing team, collaborating with clinical, billing and leadership to optimize processes.

The role emphasizes compliance with payer requirements, CMS guidelines, and continuous improvement through data-driven insights and automation

Qualifications

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.
• Compliance & Quality Assurance: 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.
• Cross-Functional Collaboration: 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.
• Reporting & Performance Management: 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.
• Process Improvement & Innovation: 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.

Job description

Job Title: DME & Ortho Therapy EVA Manager Location: Clearwater, FL Department: RCM Operations Reports To: Director EVA & Prior Authorization About RomTech 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. Join us and make a difference every day. Position Summary DME & Ortho Therapy Eligibility, Verification, and Authorization (EVA) Manager 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. The EVA Manager will lead a specialized team, collaborate closely with clinical, billing, and operational partners, and drive continuous improvement across EVA processes in a fast-paced, technology-driven healthcare environment. Key Responsibilities Program & Operational Leadership

• 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.
• Team Leadership & Development
• 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.

Compliance & Quality Assurance

• 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.

Cross-Functional Collaboration

• 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.

Reporting & Performance Management

• 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.

Process Improvement & Innovation

• 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.