Eligibility & Authorization Specialist - In-Home Rehab

ROMTech; Clearwater (FL); On-site; USD 42,000 - 48,000; Full time

Job summary

ROMTech is seeking an Eligibility, Verification and Prior-Authorization (EVA) Specialist to join our Clearwater, FL team and support our remote rehabilitation platform. This role focuses on accurate verification, timely authorizations, and adherence to payer guidelines in a fast-paced healthcare environment.

The ideal candidate will have 1–3 years in revenue cycle management, strong knowledge of CPT/HCPCS coding, and experience with HIPAA compliance, working cross-functionally with intake,

Qualifications

• 1–3 years of recent experience in revenue cycle management or insurance verification.
• Experience verifying and authorizing for remote therapy monitoring is a plus.
• Strong understanding of the full revenue cycle process.
• Knowledge of payer requirements and denial management strategies.
• Proficiency with industry platforms including Brightree, AdvancedMD, RingCentral, Slack, Zooper, iOMS, PayCom, PandaDoc, Microsoft 365, and ServiceNow.

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.

Skills

Multitasking

System navigation

Time management

Medical terminology

Team player

Deadline-oriented

Cross-department collaboration

Tools

Brightree

AdvancedMD

RingCentral

Slack

Zooper

iOMS

PayCom

PandaDoc

Microsoft 365

ServiceNow

Job description

ROMTech is seeking an Eligibility, Verification and Prior-Authorization (EVA) Specialist to join our Clearwater, FL team and support our remote rehabilitation platform. This role focuses on accurate verification, timely authorizations, and adherence to payer guidelines in a fast-paced healthcare environment.

The ideal candidate will have 1–3 years in revenue cycle management, strong knowledge of CPT/HCPCS coding, and experience with HIPAA compliance, working cross-functionally with intake,