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Medical Collection Agency: Recover Unpaid Patient Bills

Medical debt collection agency

Stop letting unpaid patient balances bleed your practice. We recover revenue without ruining patient relationships—fully HIPAA compliant and audit-ready. With over 50% of our clients coming from the medical and dental fields, we are true specialists in the healthcare industry.

Why Choose NexaCollect?

  • Transparent Pricing: Fixed fees starting at $15/account.

  • No Recovery, No Fee: 40% contingency for older debts.

  • Compliance First: 501(r) & No Surprises Act ready.

Respectful Treatment: It’s Our Policy, Not Just a Promise

Your patients deserve respect, even in collections. We understand that avoiding harsh tactics is your top priority. That’s why we record and randomly review our calls—to ensure our collectors always maintain our minimal-stress policy and protect your practice’s reputation. We hold ourselves to this standard by recording and auditing our calls, ensuring every collector follows our signature minimal-stress approach to debt resolution.

Services and Fee Structure

Let your team keep the stethoscopes; we’ll handle your AR spreadsheets.

Step Service Type What We Do Fee Structure
Step 1 First-Party Demands Five polite payment reminders sent to the debtor in your name. Fixed-Fee: $15 per account
Step 2 Third-Party Written Demands Five collection letters sent by our agency. Fixed-Fee: $15 per account
Step 3 Third-Party Collections Persistent, professional phone outreach and resolution. Contingency: 40% of amount collected
Step 4 Legal Collections (client-approved) Attorney-led action where appropriate. Contingency: 50% of amount collected

Medical Collections for Patient Balances

Clear, compliant, and patient-friendly recovery—without surprises.
• First outreach within 24–48 hours of placement
• For best results, place accounts early
• Coverage: All 50 states + Puerto Rico
• Hospital-safe process with 501(r) screening support (where applicable)
• It is really easy to work with us.
• U.S.-based support team for clear communication

Medical office staff are frustrated with being forced into part-time debt collectors, as it distracts them from their primary responsibilities.

Quick start: Send 10–20 test accounts or a CSV export. We’ll review in 1 business day and recommend the lowest-friction path.

Need a Medical Collection Agency? Contact Us

Serving Thousands of Medical Professionals Nationwide

Easy to use • Fully Compliant with HIPAA, Federal and State Laws • USA Citizens-Only Team • 24×7 Secure Portal • High Recovery Rates • Expert Medical Collectors • Free Credit Bureau reporting • Low fee 


What Changed Recently (Why This Matters to Your Revenue)

  • Credit reports: Medical debt is vanishing from credit reports. You can no longer rely on fear of credit damage. You need better communication strategies—which is exactly what we provide.

  • No Surprises Act: Out-of-network emergency and post-stabilization charges have strong federal protections; our outreach aligns with those rules.

  • Hospitals (501(r)): Nonprofit hospitals must screen for financial assistance before any extraordinary collection actions (ECAs). We document those “reasonable efforts” so you stay audit-ready.

  • Policy watch: Regulations continue to evolve. We keep scripts, notices, and workflows current so your team stays compliant.


HIPAA, Privacy & Dignity

  • We share only the minimum necessary PHI for payment/operations.

  • Business Associate Agreements with all third-party vendors we engage.

  • Scripts avoid clinical specifics; focus stays on balance, options, and empathy.


What We Need to Start

Invoices/statement • EOB (if available) • Patient contact info • Registration notes • Prior outreach logs • Financial-assistance status (if hospital)


Recent Results

• Multi-Specialty Clinic – $380–$1,400 balances – 72–118 days
Up-front estimate + two-way texting + 4-month plans → 82% resolved without ECAs in 30 days.

• Nonprofit Hospital Outpatient – $650 average – 95 days
FAP screening + plain-language bills + text-to-pay → 68% pay/plan within 21 days; remainder documented for charity review.

• Ambulatory Surgery Center – $1,200 average – 132 days
Portal enrollment + hardship tiers + autopay → 74% enrolled in plans, with <3% cancellations over 90 days.


FAQs

• Can unpaid medical bills still appear on credit reports?
Under current federal policy, medical bills are being removed from consumer credit reports used by lenders. We focus on communication, payment options, and (for hospitals) FAP screening.

• When should we place accounts?
After two unsuccessful internal attempts and by 60–120 days past due. Earlier placement = better patient recall and faster resolution.

• What counts as an “extraordinary collection action” (ECA) for hospitals?
Examples include liens, wage garnishment, adverse credit reporting, and non-emergent care denial due to past bills—and they’re considered only after documented FAP screening.

• Is sending a medical account to outside collections a HIPAA violation?
No—if you share the minimum necessary information for payment/operations and have a BAA in place.

• Do you handle surprise-bill disputes?
Yes—we explain protections under the No Surprises Act and help resolve misunderstandings about out-of-network emergency/post-stabilization charges.


Ready to Lower Bad Debt (Without Damaging Trust)?

Start with 10–20 test accounts or a payer-mix subset. We’ll map the shortest path: TOS optimization, payment plans, charity screening, or—only when necessary—post-screen escalation.

Need a Collection Agency? Contact us

Filed Under: Debt Recovery

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