About Trellis

Trellis builds AI that handles intake, benefits, prior authorization and reimbursement for infusion and specialty pharmacy providers, so patients start therapy faster and providers get paid for it.

The role

You will be our expert on infusion prior authorization and reimbursement. Our system reads referrals, clinical notes and payer policies, then prepares the work that intake and reimbursement teams do by hand today. Your job is to make sure that work is right. You will review real cases across our customers, catch what the system gets wrong and explain why. Then you turn that judgment into rules and test cases our engineers build on. You will work directly with the product and engineering team.

What you will do

Review prior authorization and reimbursement cases for infusion customers, covering benefits, coverage, PA requirements, medical necessity, billing codes and units

Check each decision against payer policies, Medicare LCDs and NCDs, payer portals and the patient's clinical documentation

Build answer keys that record the correct outcome for real cases, with the reasoning and source behind each call

Find patterns in errors and write them up clearly for product and engineering, with examples

Keep a working library of payer rules, drug coverage criteria and billing conventions up to date

Learn how customer intake and reimbursement staff handle edge cases, and bring those conventions into the product

Review early output during customer onboarding and flag risk before it reaches a claim

What you bring

3+ years in infusion or specialty pharmacy revenue cycle, such as prior authorization, benefits verification, billing, denials or appeals

Working knowledge of medical versus pharmacy benefit, buy and bill, HCPCS J codes, administration CPT codes, NDC to billing unit conversion and modifiers

Comfort reading LCDs, NCDs and commercial medical policies and applying them to a specific patient

Experience with payer portals and PA tools such as Availity or CoverMyMeds, and pharmacy or infusion systems such as CPR+ or WellSky

Careful judgment. You know the difference between what the chart says and what someone assumed

Clear writing. You can explain a denial risk in two sentences to someone who has never billed a claim

Nice to have

A CPC, CPB, CRCS or similar certification, or a pharmacy technician or nursing background

Experience at a home infusion provider, ambulatory infusion center or specialty pharmacy

Experience with biologics, IVIG and other high cost therapies across Medicare, Medicaid and commercial plans

Curiosity about how AI can change healthcare operations. No coding required

About the interview

Intro call with Ahmed (30 min). Your background, the kind of reimbursement work you have done, and what you want next.

Case review exercise (60 to 90 min). We share two or three anonymized infusion referrals with the relevant payer policy. You decide whether a PA is needed, whether the case meets coverage criteria, and how it should be billed. Then we go through your reasoning together. We care more about how you think and where you look than about a perfect answer.

Team conversations (45 min). Meet the people on product and engineering you will work with every day, and ask anything about how we build.

References and offer. We move quickly and will tell you where you stand after each step.

Compensation & Benefits

The salary range above is our good-faith estimate. Your final level and base salary will reflect what you bring: your skills, your experience, and how much ownership you’re ready to take on. Base pay is only one part of the package. Every full-time teammate also gets meaningful equity, because the people building Trellis should share in what it becomes. We are committed to keeping you healthy and supported so you can do the best work of your career. Here are some of the benefits & perks we offer:

Comprehensive medical, dental, and vision coverage

Flexible PTO & Sick Time

Daily meals in the office

Team offsites

Equal Opportunity at Trellis

At Trellis, we’re building AI agents that help patients get life-saving medicine faster. The patients and providers we serve come from every background, and our team should too. Trellis is an Equal Opportunity Employer. We hire based on talent, curiosity, and drive, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.