Healthcare Founder, Medical Billing & Prior Authorization

Medical billing companies charge 5-8% of collections with 90-120 day cycles and 65-75% first-pass acceptance rates. Prior auth takes 2-14 days per request with 30%+ initial denial rates. AI can automate coding, prior auth submission, denial management, appeals. Medical billing is rules-based with well-defined logic. The complexity comes from scale and keeping up with payer policy changes. The opportunity: Guarantee 90%+ first-pass rates and 30-day collection cycles at 3-4% fees. Start with complex coding specialties like oncology and orthopedics, then expand across specialties. We're looking for Founders to leverage their domain expertise, and are convinced AI can deliver the outcomes better than humans to build full-stack, AI Native services in industries where outcomes depend on expertise, regulation, and trust. While we’re actively building out these ideas, Forum Ventures is always open to hearing from founders with bold, original ideas. If you're working on an early-stage B2B SaaS company, even at the idea stage, pitch us still. Your Partners in Co-Creation: Forum's AI Studio brings together ambitious people, brilliant ideas, and capital to build the best B2B SaaS businesses in the world, from 0 to 1. In addition to capital and an idea, we provide founders with access to investor networks, fundraising support, and the resources needed to build transformational companies. We've launched 17 companies since 2023, and we're launching 7 more in 2026. We're designed to help Founders move faster, develop better insights, and build companies that have a higher success rate than startups built in any other way. Forum derisks and accelerates the Founder path by: • A $250K USD investment, and an end-to-end fundraising playbook and network to raise your seed and Series A • A validation partner with proven playbooks, networks, and the systems to validate, unlock your ICP, ignite your sales pipeline, and beyond • The support of our experienced operating team - from business design, product development, growth, recruitment, legal and more • Executing a winning GTM strategy to get to $50-100K ARR, and the right MVP to ensure early traction • A community full of mentors, peers, and leaders • $100K worth of business perks Please note, this is not an employment opportunity with Forum Ventures. Apply tot his job