Infusion RCM Operations Specialist - AI-Powered PA

present of AI; United States; Remote; USD 65,000 - 100,000; Full time

Job summary

Trellis AI is seeking an RCM Operations Specialist, Infusion (AI Platform) to become the in-house expert on infusion prior authorization and reimbursement. You will review real cases prepared by the AI system and confirm against payer policies and clinical notes, ensuring accuracy and compliance.

Strong writing and pattern-spotting skills help translate errors into rules and test cases. The role sits between clinical operations and engineering, translating reimbursement calls into actionable

Qualifications

• Several years of hands-on infusion or specialty pharmacy revenue cycle work.
• Careful reading of medical policies and differentiating fact from assumptions in charts.
• Ability to write clearly and to identify error patterns and convert them into rules and test cases.

Responsibilities

• Serve as in-house expert on infusion prior authorization and reimbursement.
• Review real AI-prepared cases and confirm against payer policy and clinical notes.

Skills

Infusion experience

Prior authorization

Revenue cycle

Policy interpretation

Clinical notes reading

Documentation accuracy

Job description

Trellis AI is seeking an RCM Operations Specialist, Infusion (AI Platform) to become the in-house expert on infusion prior authorization and reimbursement. You will review real cases prepared by the AI system and confirm against payer policies and clinical notes, ensuring accuracy and compliance.

Strong writing and pattern-spotting skills help translate errors into rules and test cases. The role sits between clinical operations and engineering, translating reimbursement calls into actionable