We are a full-service medical waste removal and treatment company with the tools and services to help any size facility.

  • Your Medical Waste and Compliance Partner

    A partner you can trust implicitly. We back up your trust with our commitment, integrity, and experience. Collectively our team has amassed more than 150 years of successful management experience in the healthcare, environmental, and waste service industries, as well as in the disposal of regulated medical waste. We helped write the book on it.

  • About Trilogy

    We have the most experienced team in the industry.

    Experience the difference.

    Our mission is to protect your business against risk while protecting the environment

    A group obsessed with compliance and regulations, and dedicated to medical waste professionals. We’re all about protecting clients, patients, employees, and the environment. We are committed to delivering environmental services in a clinical manner with budget-protected pricing. Let us prove to you why your search for a healthcare waste management company should end with us.

    Top Healthcare Professionals Choose Trilogy​

    Experience drives innovation

    Our experience, our products, and our services are what truly sets us apart from other medical waste removal and treatment companies. We offer top-of-the-line solutions that meet the needs of every practice, big and small. From waste management and sharps disposal to compliance training and document destruction, Trilogy MedWaste is here to help move your facility forward as efficiently as possible. We provide localized friendly service backed by the strength of a nationwide company with the resources to deliver uncompromisingly excellent service.

    We're expanding. Immediate positions open in Florida and Tennessee.

    Join a winning team.

    Trilogy is expanding across the U.S. and is always looking for dedicated, talented individuals seeking a career in the healthcare waste and compliance industry. We provide competitive wages, 100% paid healthcare benefits for individual employees and excellent training. From customer service to the hard-working people driving our route trucks - we believe in protecting our clients, our employees and our environment.

  • Services

    Trilogy offers an array of waste management and compliance services

    Medical Waste

    Servicing small, medium and large generators

    Our products, services, and programs keep your facility safe, in compliance, and operating profitably. As America's newest choice for medical waste solutions, we offer a full range of services including regulated medical waste, sharps management, and compliance training for all size facilities.

    When you select Trilogy MedWaste as your medical waste solution partner, you receive a complete suite of services, environmentally friendly processing, and a partner you can trust.

    Document Destruction

    Let Trilogy manage your document destruction

    Paper shedding and document destruction is an effective solution for sensitive documents while ensuring security and peace of mind. Recycling paper is an important part of sustainability, but leaving confidential information exposed this way dramatically increases the risk of data breach.

    Call us now for more information about document destruction.

    Sharps Disposal

    Sharps management that makes sense

    Our sharps tracking and retrieval service is a custom sharps management solution designed for your busy operation. Certified representatives work with your staff and conduct a comprehensive audit of your sharps usage patterns and waste streams.

    We provide engineer-designed sharps containers with horizontal loading slots that provide safe, secure disposal for greater patient and staff safety. In addition to comprehensive sharps management plans, we offer mail back services for your sharps and unused pharmaceuticals.

    Mail Back Programs

    Perfect option for rural locations

    The process of mailback disposal is fairly simple when you work with Trilogy MedWaste. We can help you assess whether or not mailback services are the best option for you, as well as what materials you'll need to get started.

    It's important that you understand the different types of medical waste you may be dealing with, because some must be sorted and packaged differently. Call us, and we can help you segregate and package properly. Whether it be regulated medical waste, sharps, or pharmaceutical waste.

    Compliance Training

    Affordable Online Access

    All compliance programs are not created equal.

    With Trilogy's online compliance program, you’ll get peace of mind knowing that your facility or practice is in TOTAL compliance. We are dedicated to meeting the need of healthcare providers, helping them grow, and protecting their practice.

    Birds Eye Healthcare

    Consisting of various applications to assist clients in becoming more efficient and compliant.

    Birds Eye is a cloud-based healthcare software platform that consists of various applications to assist you in becoming more efficient and compliant. Regardless of your practice size, wherever you have challenges, we have the solutions.


    Learn more about Birds Eye

  • You + Trilogy = Awesome.

    Reach out to us for a free no-obligation quote.

  • Careers at Trilogy

    We're always looking for great people. Check out our current openings.

    Accounts Receivable

    Corporate Office - Houston, Texas

    quickly growing through acquisitions. We are looking for someone that can work in a fast paced environment and meet deadlines. They should be detail oriented, be a self-starter, creative in solving problems, and work well with others including customers in a team environment. They will be performing some of the following tasks:

    • Billing and collections for 5,000+ customers and growing
    • Billing from 3 rd party vendors
    • Credits/Adjustments
    • Handle customer calls and concerns
    • Depositing and applying checks
    • Processing credit cards

    Previous experience in the waste industry is preferred, but not required.
    Experience with any waste billing application such as Tower/AMCS or similar waste industry applications is preferred.

    • Experience with Microsoft Suite of products (especially Excel)
    • Ability to work independently
    Send cover letter and resume to: hr@trilogymedwaste.com

    Customer Care Representative

    Corporate Office - Houston, Texas

    Position Description:

    Are you looking to join a team that rewards and promotes top performers? Would you enjoy working for a reputable, environmentally- conscious company? If so, join Trilogy, where we encourage team members to develop their skills and be innovative. Trilogy rewards hard work with competitive pay, paid time off and paid holidays, good work-life balance and 100% paid medical insurance. At Trilogy, our company culture is built on a foundation of respect, diversity, commitment, and partnership. Be our newest team member!

    As a Customer Care Representative you will:

    • Provide outstanding customer service at all times to customers
    • Ability to multi-task with phone and computer 
    • Strengthen clients’ brands by responding to customer inquiries, processing requests, resolving complaints, and always striving to surpass expectations 
    • Update CRM with client record changes, note entries, and workflow case to completion 
    • Escalate customer issues to manager as appropriate 
    • Ensure quality of service on all phone calls 
    • Adhere to company policies and responsibly manage time & attendance 
    • Assist in other departments as needed 

    Position Requirements:

    • College degree preferred or some college course work completed 
    • 2+ years of experience in a customer service or related role 
    • Solid verbal communication skills with a professional telephone etiquette 
    • Basic math, reading, writing, organizational skills, and problem solving capabilities 
    • Proficient at Word and Excel
    • Meet background verification requirements 

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

    Send cover letter and resume to: marcher@trilogymedwaste.com

    Warehouse Production / Dock Workers

    Port St. Lucie - Florida

    Primary Job Responsibilities:

    • Unload waste containers from incoming vehicles as well as perform separating and segregation tasks.
    • Follow and perform required vehicle decontamination duties.
    • Properly stage and/or stack waste containers for scanning and manifest record keeping purposes.
    • Place containers on tub wash line for cleaning and decontamination.
    • Operate tub wash unit, remove clean tubs from wash unit, inspect tubs and stack for loading onto assigned vehicle.
    • Reload clean containers on vehicle and communicate to plant manager when the vehicle is ready to be moved from dock area.
    • Ensure plant housekeeping remains clean, organized and immediately addressed (i.e. spills are cleaned up, floors are dry and debris removed from plant floor, etc.).
    • Review, adhere and monitor safety guidelines of work being produced and report unsafe conditions to management.
    • Actively participate in training activities to gain knowledge and skills to complete job responsibilities.
    • Responsible for following company policies and procedures.
    • Perform other plant operations as assigned.


    This position requires working in an environment where exposure to temperature changes and weather conditions occur often. Physical demands require daily movements of standing, walking, reaching, bending, kneeling, and climbing. Occasionally requires carrying and/or lifting objects weighing 50-100 pounds.

    Send cover letter and resume to: doug@biowastefl.com

    Facility Manager

    Hendersonville - Tennessee

    Trilogy MedWaste Facility Managers (FM) are directly responsible for all processing plants, transfer stations and satellite locations in their area of responsibility. Direct reports to the FM may include local Dispatchers, Route Lead Drivers and/or Supervisors, Plant Supervisors and/or Managers along with Plant Maintenance personnel. Facility Managers will be directly responsible for all P & L,
    financials and budget management for their area.

    • Ensure that all facilities are within regulatory compliance, including transfer stations, trucking domiciles, office and support facilities within the plant operation. 
    • Manage databases to include annual permit renewals, accident and workers compensation records, OSHA 200 logs, etc. Perform periodic facility, safety and OSHA audits ensuring the safety of all plant personnel.
    • Establish and maintain effective contact with state and local regulatory agencies and coordinate inspection and customer environmental tours.
    • Ensure continual improvement of productivity standards and worker safety performance in all phases of the operation including but not limited to; transportation, sharps service techs, plant/transfer station staff and all route/long haul/roll off drivers (where applicable). 
    • Provide financial forecasting and regularly analyzation on-plant expense performance in order to meet the overall cost objectives of the operations. Manage established financials and budgets over responsible facilities. 
    • Maintain a high level of customer satisfaction. Perform periodic customer service field audits to ensure the Trilogy Team is meeting expected level of customer service. 
    • Establish production and route employee work scheduling and processes payroll in a timely and efficient manner. Manage transportation stats via Navusoft and FleetZoo to insure we are operating an efficient operations. 
    • Initiate actions to assure timely resolution of identified hazards or unsafe conditions or practices. Train route drivers, production and maintenance employees, when necessary. 
    • Ensure adequate level of supplies and equipment and purchases supplies and equipment, when needed.

    This position requires working in an environment where exposure to temperature changes and weather conditions occur often. Physical demands require daily movements of standing, walking, reaching, bending, kneeling, and climbing. Occasionally requires carrying and/or lifting objects weighing 50-100 pounds.

    Send cover letter and resume to: bclark@trilogymedwaste.com

    Accounting – Accounts Payable Clerk

    Houston - Texas

    Position reports to: Assistant Controller / Accounts Payable Supervisor.


    Trilogy Medwaste, Inc. is growing and due to this growth, Trilogy is looking to hire an Accounts Payable Clerk at our Corporate Headquarters in Houston, Texas. This
    position with work with our Accounts Payable & Accounting team. In this role, you will be interfacing with all levels of Management from field operations to the CFO. One of the primary responsibilities will be the integration of newly acquired Companies onto our Great Plain accounts payable system. Attention to detail is important and the ability to understand our accounting structure and educate others on Trilogy’s Chart of Accounts is critical. The environment, while relaxed, is one in which each position has an impact on how well the Accounting group can produce, timely and accurate financial statements.



    Accounts Payables

    • Process Invoices in Great Plains in accordance with Corporate Policy
    • Enforce Accounts Payables controls and processes (approvals, 1099 requirements, W9, proper treatment and limits of authority)
    • Scan, make copies, research and file Accounts Payables.
    • Reconcile Vendor Statements to outstanding payables.
    • Integrate newly acquired company’s A/P, by introducing Trilogy’s invoice coding structure.
    • Develop, run and analyze tracking reports as required with Great Plain through Smartlists
    • Minimum of two years Accounts Payable Experience required
    • Experience with Great Plains or large ERP system a plus
    • Attention to detail required
    • Waste Experience is a plus
    • Experience in Microsoft Suite including Excel and Powerpoint
    • Comfortable in a fast pace, a new company start up environment
    • Work well with team members
    • Good Attitude
    • Ability to contribute
    Send cover letter and resume to: hr@trilogymedwaste.com

    Accounting – Collections Specialist

    Houston - Texas

    Position reports to: Collections Manager


    Trilogy Medwaste, Inc. is growing and due to this growth, we are looking to hire a Collections Specialist for our Corporate Headquarters in Houston, Texas. In this role, you will be coordinating the collection of outstanding A/R. This will include both newly acquired legacy companies as well as invoices billed in Trilogy’s fully automated system, Navusoft. To be effective this individual must be able to communication effectively in both oral and written form. In addition, the position requires the ability to work independently interfacing with all levels of Management from Field Operations to the Executive Team. One of the primary responsibilities will be to be the point person for the Company’s collection efforts. Attention to detail and organization skills are a must. Office culture is relaxed, but the expectation is that each position plays an important role in the Company deliverables. A successful candidate must have the ability to operate effectively in a fast-moving environment as well as the desire to contribute to a hard working team dynamic..



    A/R Collection

    • • Make outbound collection calls in a professional manner while keeping and
      improving customer relations
      • Minimize bad debt risk and maximize accounts receivable (AR) collections
      • Monitor AR aging reports and contact delinquent customer accounts for payment
      • Negotiate customer disputes to resolution and document root cause
      • Establish payment arrangements with customers, maintain detailed records of all collection call activity and conduct timely follow-up to maximize cash collections
      • Respond to internal/external customer inquiries regarding status of customer accounts
      • Interact regularly and communicate effectively with customers, colleagues, sales personnel, and management regarding credit issues, policies, and procedures to ensure mutual understanding and positive customer experience
      • Maintain accurate credit and collections files and notes for each customer
      • Take credit card payments over the phone
    • Minimum of three years A/R Collection experience required
    • Experience with large ERP system a plus
    • Strong written and verbal skills
    • Experience in Microsoft Suite including Excel and Powerpoint
    • Knowledge of cash applications and collections procedures
    • Experience at reading A/R aging reports
    • Ability to use fundamental arithmetic (e.g. averages and percentage)
    • You need to be comfortable in a fast pace, new company start up environment
    • Work well with team members
    • Good attitude, ability to contribute
    • Customer service experience a plus
    • Work without direct supervision
    • Attention to detail
    • High productivity with a sense of urgency
    • Excellent time management, follow-up and follow-through
    Please send your resume and cover letter to Rachael Guerrero at rguerrero@trilogymedwaste.com
  • Contact Us

    Don't be afraid to reach out. You + us = awesome.