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Medical Collection Agency: Recover money from patients

Medical debt collection agency

We recover your unpaid patient balances quickly and professionally—while protecting your reputation and keeping patient relationships intact. With over 50% of our clients coming from the medical and dental fields, we are true specialists in the healthcare industry.

Healthcare providers are facing more and more cases where patients don’t pay their medical bills. Medical office staff are frustrated with being forced into part-time debt collectors, as it distracts them from their primary responsibilities.

Working with a collection agency is no longer a complicated process, thanks to a user-friendly, secure client portal that lets you manage everything at your convenience. An experienced collection agency will protect your reputation while recovering patient bills. 

Our medical collection services will seamlessly integrate with your existing billing process, providing online status reports and eventually depositing the amount recovered directly in your bank account ( using ACH Direct Deposit). 

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 

Why take your unpaid medical bills so seriously?
If a medical practice works on a 20% profit margin, say 3% of its patients do not pay, then effectively 15% of the net profit is gone. Collecting money from existing patients is much more important than getting new patients.

How does a medical collection agency work?
A good collection agency should be willing to tailor their approach to meet your specific needs and help you achieve your debt collection goals. They should offer you the following four options:

 

Fixed Fee Collections ( Amicable tactics)

Step 1 : Send five reminders on your behalf, a process known as first-party collections. At this stage, the account has not yet entered the collections phase. You should assign a patient to this step when their invoice is overdue by 30 to 60 days. If your team is understaffed and you want them to focus on their primary duties, choose the Step-1 service to manage accounts. This approach will save time and energy, reducing the weekly frustration your staff faces when reminding patients to make payments.

Step 2 : Send five formal medical collection notices at regular intervals on their letterhead, a process known as third-party collections, which includes strong legal language. This step represents a significant shift, signaling to the patient that their account is now being handled by a professional medical collection agency. This transition greatly increases the likelihood of payment. Using this assertive yet measured approach usually preserves the integrity of your relationship with patients. Most practices move accounts to this step when they are 60 to 120 days overdue, a strategy that has consistently proven effective.

Cost:

  • Step 1 or Step 2 costs about $15 an account ( 5 contacts).
  • Step 1 and Step 2 combined service is about $20 per account ( 10 reminders/demands)
  • If you buy more accounts, the cost per account goes down further. Unused accounts NEVER expire.

Contingency Fee Collections ( Firm tactics)

Step 3 : (📞) In this service, a professional medical debt collector will call your patient and also conduct skip tracing to find the debtor’s most recent contact information, such as phone numbers and addresses. Collectors are not paid a fixed salary; instead, they earn a percentage of the money they recover, which motivates them to work harder on your behalf. Typically, collection agencies retain 40% of the amount collected and remit the remaining 60% to you.

Step 4: (⚖ ) Uncollected accounts can be further assigned for legal collections (after your written approval). These accounts must be of a minimum dollar value to justify the attorney cost and filing fee.

New laws impacting medical debt collections

  • In November 2021, the CFPB (a government entity) instructed all collection agencies to maintain a detailed breakdown of each account. This includes the initial amount due and any payments made by the patient before the account was assigned for collections.
  • Starting July 1st, 2022, the Credit Bureaus (CB) began removing all medical debts of less than $500 from credit reports. Additionally, CBs now remove all medical debts that have been paid off. They also extended the period before medical debts can be reported, requiring a one-year wait after the delinquency date, compared to the previous six-month period.
  • Newer credit scoring models, such as VantageScore and FICO, now place less emphasis on medical debt, meaning it doesn’t impact credit scores as much as it used to. Collection agencies are required to be compliant with GLBA (data protection laws as of June 8, 2023) and HIPAA regulations.
  • While these laws undoubtedly make recovering medical debt more challenging, they do not prevent collection agencies from obtaining a court judgment against the patient. Therefore, it is crucial to involve a collection agency as soon as possible before it becomes too late. We recommend transferring accounts to a collection agency when the debt is 60 to 120 days past due.
  • October 2024: Many states have stopped medical credit bureau reporting. We may have a federal law soon that may prohibit credit reporting entirely in all states.

How soon can I forward a patient’s account for collection?
You can send a patient for debt collection at any time, per your office’s financial policy. Most medical practices transfer accounts after 60 days. It is advisable to send the patient for collection after determining final insurance coverage. This avoids confusion since the patient’s insurance coverage can differ from what was initially estimated.

 

Filed Under: Debt Recovery

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    Note: Nexa is an information portal that helps businesses and medical practices to find a good collection agency at no cost to them. We are not a collection agency. We do not perform any collection activity, nor take payments, nor do any credit reporting. Leads shared with shortlisted agencies with Low Contingency Fee and High Recovery rates.

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    Copyright © 2025 NEXACOLLECT.COM | All information on this website is for general information only and is not an experts advice. We do not own any responsibility for correctness or authenticity of the information, or any loss or injury resulting from it. Nexa is not a collection agency. Relevant inquiries are contacted by our shortlisted collection agency partner(s)

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