DME & Ortho Therapy EVA Manager

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 RomTechs 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 RomTechs 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.

Qualifications

Required

• 35 years of experience in healthcare eligibility verification prior authorization or revenue cycle management.
• Prior leadership or supervisory experience preferred.
• Strong understanding of insurance payer requirements prior authorization processes and medical necessity criteria.
• Experience working with DME & Ortho Therapy services remote patient monitoring or diagnostic testing preferred.
• Experience working in a fast paced environment.
• Excellent organizational communication and analytical skills.

Preferred

• Bachelors degree in Healthcare Administration Business or a related field.
• Experience with Medicare Medicaid Workers Comp VA and commercial payer authorization processes.
• Familiarity with healthcare technology platforms EHRs and authorization systems.

Skills & Competencies

• Attention to detail and accuracy
• Leadership and team development
• Process optimization and data analysis
• Strong payer and reimbursement knowledge
• Patient access and advocacy mindset

Why Join RomTech

RomTech offers a mission-driven collaborative environment where innovation and compassion go hand in hand. As the DME & Ortho Therapy EVA Manager youll play a critical role inensuring patients receive timely access to life-changing orthopedic care while helping the organization grow and thrive.