What Are the Top-Rated Early-Out Vendors Available in the United States?

Updated on May 30, 2025

The modern health care landscape requires fiscal stability and healthy revenue cycles. If your organization needs to improve its bottom line, you should start with patient financial experiences. Increased cash flow and fewer accounts receivable improve hospital outcomes. What are the top-rated early-out vendors available in the United States? Here is a guide to outsourcing debt collection. 

What Should Health Care Professionals Look for in Early-Out Vendors? 

Medical debt is significant in the United States, with the Consumer Financial Protection Bureau reporting $49 billion in outstanding bills among 15 million Americans. Health care facilities may have tight budgets and need early-out vendors to compensate, so outsourcing lets them focus on core competencies. 

Health care professionals should be selective when outsourcing early-out vendors. Here are a few considerations before choosing a partner:

  • Patient experience: Patients should be able to navigate the process easily and receive personalized payment plans. 
  • Automation: Automated technologies reduce labor costs and streamline billing. Patients should have self-service options and automated communications. 
  • Support: While automation optimizes operations, the early-out vendor should have a helpful human support team. 
  • Reputation: The company must have a strong reputation with health care providers and implement ethical practices. 
  • Transparency: Early-out vendors with transparent fees and collection services benefit clients and patients. 
  • Security: Adherence to HIPAA, the GDPR and other privacy regulations is essential. 
  • Cost-effectiveness: The vendor should have competitive pricing and a track record for improving cash flow. 
  • Scalability: Health care providers may have differing needs as they grow and shrink, so early-out services must be scalable to the operations. 

What Are the Top-Rated Early-Out Vendors Available in the United States?

Early-out programs let you implement smart financial strategies and achieve your KPIs. Which ones can optimize organizational health and improve revenue cycle management? Here are the 13 best options nationwide.

1. Millennia

Millennia is among the best early-out vendors nationwide because of its technological solutions and engagement intelligence. The company strives to be an extension of your organization and outperform outdated approaches. Its payment solutions streamline operations by providing automation tools and eliminating the dialing-for-dollars strategy. Instead, patients use self-payment software to understand their statements better. 

Millennia makes the user experience easier while improving financial processes for health care organizations. The vendor delivers up to a 100% revenue increase for hospitals with an average collection rate of 40%. Working with Millennia reduces the operating expenses and administrative burden through its Patient Payment Solution. This consolidated system includes early-out services and personalized support. 

Key Features

Single solution for all patient payment needsAutomated technology for streamlined payments
Omnichannel approach to reach patientsPersonalized human support for patients

2. RevCycle

RevCycle assumes the patient billing and collections responsibilities to reduce your hospital’s labor needs. The Wisconsin-based company offers extensive revenue cycle management services to be your health care organization’s sole vendor. Clients receive a netback performance guarantee to get the best price from third-party debt collectors. 

RevCycle performs this service through its Alliance Collection Agencies division, which has a license in all 50 states and jurisdictions. The company validates each patient experience through its Dignity Survey, ensuring clients get a satisfying experience. RevCycle ensures compliance with HIPAA and other regulatory bodies through breach reporting and regular training sessions. 

Key Features

Seamless integration with RCM platformsFree consultation
Netback performance guarantee Dedicated client services department

3. Meduit

Meduit is a forward-thinking company that leverages advanced technologies to be a one-stop source. When you choose this service, you get AI-driven solutions that allow robotics to do the hard work for you. However, it still deploys human expertise through its experienced customer service experts who manage volume and resolve issues. 

One of Meduit’s featured services is its Supervised Autonomous Revenue Associate (SARA) software. SARA handles the billing, coding and processing duties to free health care professionals from administrative responsibilities. Clients can accelerate their cash flow through Meduit’s proven flagging process and predictive analytics. The company has a 100% success rate in finding lost Medicare bad debt value. 

Key Features

AI-powered collection process13 locations nationwide
150,000 physicians in 48 states servedOver $56 billion in accounts receivable for health care clients

4. Firstsource

Firstsource is one of the top-rated early-out vendors available in the United States because it simplifies complex processes for your staff. The experts partner with your team to solve the most significant challenges with cutting-edge data and analytics. Past clients have benefited from $4 million in annual savings thanks to the digital-first approach.

Firstsource’s experience with numerous industries makes it a terrific guide for health care organizations. Its professional services reduce leakage and maximize net revenue through an accessible digital experience. Patients get a personalized process to make payments easier and increase hospital cash flow. The organization sets itself apart through cloud-enabled management solutions and enhanced security. 

Key Features

Generative AI and NLP for accuracy 30% reduction in operational risks
95% drop in call avoidance Cloud management solutions

5. Parallon

Parallon includes a broad portfolio of administrative services and revenue cycle management, including early-out programs. The platform helps providers improve operational efficiency and navigate regulatory challenges to improve the patient experience. This Tennessee-based company serves multiple providers, including hospitals, physicians and specialty services. Regardless, your organization receives central insurance verification and utilization review. 

Parallon works with HCA Healthcare customers with an expert team of customer service operations. These professionals handle authorizations, scheduling and IT needs to make your connections more efficient. The company supports early-out services by wielding the latest technologies and helping your organization use best practices. With Parallon’s support, your staff can better support patients. 

Key Features

Comprehensive revenue cycle servicesTotal patient account resolution for HCA Healthcare
Numerous provider types are supportedClient, clinical and administrative services available

6. R1 RCM

R1 RCM offers robust early-out services to resolve patient account issues. The company understands that people need empathetic and practical solutions, so the customer service experts use a three-pillar approach for better financial results: 

  • Patient-first ethos: R1 RCM says every patient deserves compassion during their calls.
  • Established early-out leader: The company has 20 years of early-out experience. 
  • Flexible partnerships: R1 RCM meets you where you are with global and domestic options. 

R1 RCM proves that health care organizations can simultaneously improve patient experiences and achieve tangible results. The business has a 92% satisfaction rate due to fast engagement, ensuring customers need less than 60 seconds to get their inquiries answered.

Key Features

Annual call volume of 10.5 millionDialers and IVR interfaces for heightened efficiency 
Automated technology to scan quickly and improve workflow15% reduction in cost collection

7. Horizon Healthcare RCM

Horizon Healthcare RCM has become one of the top-rated early-out vendors available in the United States due to its cost-effectiveness and efficiency. The company recognizes that revenue cycle management can be complex, so it optimizes operations with top-notch patient care. Automation is integral to the process because it increases productivity and quickly identifies discrepancies. 

The size of your facility does not matter, as Horizon Healthcare RCM provides flexible and scalable revenue cycle solutions. Adaptability in the modern health care landscape is essential, and Horizon embodies it with its extended business office. The experienced staff and technology improve your cash flow by collecting payments before they become delinquent. 

Key Features

Early-out services and other management programsAutomated email and text messaging systems
Automated approval system to determine early-out eligibilityFree consultation

8. Emerald AR

Emerald AR was founded in 2007 to help health care providers with billing. Proprietary technology lets your professionals build relationships with patients and ease the payment experience. From paper and electronic statements to an advanced voice response system, the simplified process makes debt collection more manageable. 

Emerald AR specializes in early-out patient billing services because of its agent scripting platform. This feature connects your existing practice management system to enhance billing information visibility. The company also has a Medicaid identification product to identify missed eligibility. Emerald’s experience and unique approach have made it a popular partner for health care providers nationwide. 

Key Features

Comprehensive case managementProactive calls and efficient communication
Claim miner to find missed Medicaid eligibilityIntegration with most practice management systems

9. Revco Solutions

Revco Solutions prides itself on cutting-edge services, performance and security. Working with this early-out vendor makes payments easy and efficient, as users can use call, text and email to understand their outstanding bills. The company emphasizes satisfied and loyal employees who build expertise and help patients. Employees stay for more than four years and increase collections by 61%. 

Revco Solutions employs a patient-first approach and a customized outreach strategy. Once the experts understand why someone owes money, they can proceed with a personalized process. They will clean accounts that are unlikely to be paid, whether due to bankruptcy or death. Once the bad debt has moved, your organization can focus on customers with a higher propensity to pay and devise workflow strategies. 

Key Features

Proprietary scoring system and account optimizationExpedited cash flow with a high likelihood of resolution
Strategic system to contact patientsStrong security and compliance infrastructure

10. TruBridge

Since 1979, TruBridge has been one of the top-rated early-out vendors available in the United States. The company has strengthened its services through advanced technologies, compassionate care and cost-effective strategies. It could be a viable option if you want to remove barriers in collection services. Regardless of the patient’s needs, TruBridge makes the experience better. 

Hospitals, providers and clinics benefit from the TruBridge process and improved accessibility. The company understands that your patients may encounter obstacles in paying medical bills, so it guides them through the process. It prioritizes early intervention through live chat assistance and personalized plans to address outstanding balances. Transparent financial management means every function is covered in revenue cycle management. 

Key Features

Live web chat for patientsPersonalized payment plans
37% increase in cash receipts95% patient satisfaction

11. Paragon Revenue Group

Paragon Revenue Group specializes in revenue cycle management for health care organizations. This privately owned business employs a customized style to avoid a one-size-fits-all approach, as it recognizes your unique needs. Debt collection can be complex, so it consolidates services into an easy-to-understand process. From early-out payments to secondary collections, your process is covered. 

Paragon Revenue Group uses a proprietary system with automated tools to increase efficiency and accuracy. The software scans patient demographics to determine early-out eligibility and insurance verification. Then, the expert representatives meet the filing requirements and explain itemized statements to users. Clients benefit from timely billing statements and payment reminders, whether electronically or on paper. 

Key Features

Certification from AICPA and other organizationsComprehensive revenue cycle management processes
Privately ownedProprietary tools for automated scanning

12. Medical Business Bureau

Medical Business Bureau prioritizes perfection in revenue systems. Its sole focus on the health care industry makes it one of the top-rated early-out vendors available in the United States. From hospitals to physicians, professionals benefit from user-friendly relationships and a trustworthy infrastructure. A steady partnership helps your organization experience long-term success.

Proactive addressing helps Medical Business Bureau resolve outstanding accounts and recover lost revenue. The company succeeds by prioritizing patient relationships and maximizing recoveries when the cycle begins. It understands that self-pay before and after insurance may cause underperformance, so better solutions are necessary. Highly trained customer service representatives manage payment plans and promptly assist with user issues. 

Key Features

High-volume call teamAutomatic debt transition
Secured file management systemAdditional insurance denial solutions

13. Elevate Patient Financial Solutions

Elevate Patient Financial Solutions helps your patients feel recognized and more knowledgeable about billing. The early-out system becomes more manageable through its dedicated U.S.-based customer service team and convenient resolution options. Users get a comprehensive and personalized approach based on their language, payment preferences and available hours. 

Automation technologies make understanding patients more manageable by leveraging all channels and profile preferences. Your organization can maintain its current systems and integrate Elevate Patient Financial Solutions into its operations. The software lets customers activate their payment plan online or offline and quickly resolve their outstanding balances. 

Key Features

Call abandonment rate under 5%Automated IVR features and payment portal
First-call resolution focusOmnichannel patient engagement

Using the Top-Rated Early-Out Vendors Available in the United States

Debt collection is paramount to revenue cycle management strategies, requiring a dedicated team and labor costs. If your health care facility needs assistance with early-out processes, consider a trusted vendor. These professionals build relationships with patients, improve cash flow and understand regulatory requirements.

14556571 1295515490473217 259386398988773604 o

The Editorial Team at Healthcare Business Today is made up of experienced healthcare writers and editors, led by managing editor Daniel Casciato, who has over 25 years of experience in healthcare journalism. Since 1998, our team has delivered trusted, high-quality health and wellness content across numerous platforms.

Disclaimer: The content on this site is for general informational purposes only and is not intended as medical, legal, or financial advice. No content published here should be construed as a substitute for professional advice, diagnosis, or treatment. Always consult with a qualified healthcare or legal professional regarding your specific needs.

See our full disclaimer for more details.