Many of the nation’s largest senior living centers trust us with their accounts receivable.
We consistently deliver strong recovery results, outstanding customer service, and protect their reputation throughout the collection process. Do check us out!
In senior care, you aren’t just managing a facility; you are managing a legacy. But when a resident’s “Responsible Party” stops responding, your mission to provide high-quality care is put at financial risk.
The complexity of estate settlements and Medicaid “spend-downs” has made traditional, aggressive collections obsolete. If your approach feels like a cold demand, families will retreat or lash out. If it feels like a continuation of the care you provided, your community moves to the top of the payment priority list.
Protect Your Reputation & Recover Your Revenue
Nexa is equipped with all 50-state collections license, offering free credit reporting, free litigation, free bankruptcy scrubs, and zero onboarding fees. Secure – SOC 2 Type II & HIPAA compliant. Over 2,000 online reviews rate us 4.85 out of 5.
The Senior Care Financial Reality
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The “Sandwich Generation” Gap: 40% of unpaid balances are not due to a lack of funds, but to “Decision Paralysis” among adult children who are overwhelmed by probate or Medicaid paperwork.
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The Reputation Risk: 72% of families say a “harsh” financial experience would prevent them from recommending a senior living community to others.
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The “Spend-Down” Clock: Once a resident moves toward Medicaid eligibility, the window to recover private-pay arrears closes rapidly. Timely, diplomatic intervention is the only way to secure these funds.
Why Senior Living Collections is an Emotional Landmine
1. The “Responsible Party” vs. The Resident
We understand that the resident is almost never the one handling the checkbook. Our mediators are trained to engage the Responsible Party (often a grieving or stressed adult child) as a Family Liaison, not a debt collector. We bridge the gap between “I can’t pay” and “I won’t pay” by acting as a professional buffer.
2. Medicaid Pending & Estate Complexity
Generic agencies get lost in the weeds of Medicaid. We don’t. We understand the “Medicaid Pending” status and the “Estate Settlement” process. We speak the language of executors and probate attorneys, ensuring your facility is recognized as a priority creditor without causing a family feud.
3. The Reputation Shield
One disgruntled family member on social media can damage your census for months. Our Minimal Stress Policy ensures every interaction is recorded and randomly reviewed to maintain your community’s “Hometown Hero” image. We protect your brand while we recover your bottom line.
The Nexa “Dignity-First” Recovery Ladder
We separate “administrative confusion” from “bad debt” to maximize your recovery.
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Step 1: The Account Reconciliation (Fixed Fee – $15)
Ideal for accounts 60–90 days past due. A soft, third-party “nudge” that identifies simple misunderstandings or missing paperwork before they become legal disputes. You keep 100% of the money recovered. -
Step 2: Specialized Mediation (Contingency)
For high-balance aged debt or unresponsive estates. We perform deep-data bankruptcy and estate scrubs to find the path to payment. No Recovery = No Fee.
Specialized Recovery for the Full Continuum of Care
We provide expert-level recovery across all senior care sectors:
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Assisted Living & Memory Care: Navigating the sensitivity of long-term cognitive care billing.
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Skilled Nursing Facilities (SNF): Specialized handling of complex room-and-board arrears.
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Independent Living: Maintaining a professional “neighborly” tone for active senior communities.
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Hospice & Home Health: Treating the final stages of care with the absolute highest level of empathy and respect.
Frequently Asked Questions (FAQ)
1. Does this affect our standing with the state or local community?
No. We act as a professional mediator. Our goal is to solve the family’s billing confusion. By acting as a third party, we take the “heat” off your Executive Director, allowing your team to remain the “caring face” of the facility.
2. How do you handle “Involuntary Discharge” situations?
We aim to resolve the debt before it reaches that point. By establishing payment plans early, we help families avoid the trauma of discharge while ensuring your facility gets paid.
3. What about residents who have passed away?
We handle “Estate Claims” with extreme sensitivity. We offer condolences first and then work with the executor to ensure the facility’s final bill is included in the probate distribution.
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