EVA Operations Lead - DME & Ortho Therapy

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

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