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As Sales and Marketing Director for ACS, I have had the opportunity to assist numerous clients by" I would like to take some time to get to know what your challenges are and what goals you have in an effort to make your life much more enjoyable and give you the time to do the things that are important to you. Simply fill out the quick fields below and click submit and I will call you to schedule a time that is best for you to discuss these things. Let’s get you out of the office and off to do the things you love!” Remember, we are dedicated to customer satisfaction. Try us out and let us prove it to you today! |
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Company Name and Address |
| Company Name or Practice |
| Company Mailing Address |
| Company Physical Address |
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Company Information |
| Office Manager CFO/CEP Type of Business Phone Fax |
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Company Collection Information |
| Best time to contact you Approximate amount turned over to collection monthly Num. of Doctors in Practice Num of Beds in Hospital Number of Accounts. Placed Average Balance How often do you place accounts? Num. of days past discharge or default date when placed How may letter do you send before sending to collections? Num of Phone Calls? Financial agreement signed with debtors? Specific to collections, court & attorney cost? Account placement method? Staff needed to collect in-house? Type of Billing Software? Do you have employment information on at least 75% of you accounts Do you have SSN on at least 75% of you accounts |
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Company Current Agency Information |
| Current Agency? Level of satisfaction with current program (1-Poor to 10 Great)? Do you have and early out program? If '"Yes" what do they provide? Rate? Current Collection Rate? Legal Rate Are fees paid on legal? Upfront Fees? Would you allow us to affect the credit of your debtors? Would you approve individual legal action? % Medicare? |
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Toll Free: 1-888-764-3449 |