Orthopedic EVA Specialist - RCM & Authorization (In-Office)

ROM Technologies, Inc.; Clearwater (FL); On-site; USD 28,000 - 32,000; Full time

Job summary

ROMTech in Clearwater, FL is seeking a detail-oriented Eligibility, Verification and Prior-Authorization (EVA) Specialist to join our Revenue Cycle Management team. This full-time onsite role supports our remote rehabilitation platform by ensuring accurate eligibility verification, authorizations, and compliant coding for services.

The ideal candidate has 1–3 years in RCM or related roles, familiarity with CPT/HCPCS codes, payer guidelines, and HIPAA requirements, and can collaborate

Qualifications

• 1–3 years of recent experience in revenue cycle management, insurance verification and authorization, or related role preferred.
• Experience verifying and authorizing for remote therapy monitoring is a plus.
• Strong understanding of the full revenue cycle process: patient registration, insurance verification, charge capture, coding, billing, collections, and payment posting is a plus.

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 proficiency

Time management

Medical terminology

Team player

Deadline oriented

Cross-dept collaboration

Tools

Brightree

AdvancedMD

RingCentral

Slack

Zooper

iOMS

PayCom

PandaDoc

Microsoft 365

ServiceNow

Job description

ROMTech in Clearwater, FL is seeking a detail-oriented Eligibility, Verification and Prior-Authorization (EVA) Specialist to join our Revenue Cycle Management team. This full-time onsite role supports our remote rehabilitation platform by ensuring accurate eligibility verification, authorizations, and compliant coding for services.

The ideal candidate has 1–3 years in RCM or related roles, familiarity with CPT/HCPCS codes, payer guidelines, and HIPAA requirements, and can collaborate