About Us


MCOT, Inc. was founded by Thomas M. Cole, Jr. in 1987. Originally serving the Tri-Cities area, MCOT has continually experienced growth and success throughout the Southeast region. We offer a full range of accounts receivable solutions to meet the specific needs of our customers. We bring over 60 years of combined experience to the industry and have a solid dedication to ongoing education. We pride ourselves in obtaining maximum recovery while upholding our customer’s reputation in the community.


Our Founder and President, Thomas M. Cole, Jr., FHMA, CMPA, CMCP has over 30 years of management, healthcare, billing, and collection experience. Mr. Cole has served as an officer in the HFMA (Healthcare Financial Management Association) and is the current President of the NHCA (National Healthcare Collector’s Association). 

Our Office Manager is John Fleming. He has been with MCOT 17 years. Mr. Fleming oversees the day-to day operations of the agency, as well as manages our liability accounts. He has been an active member of the Rotary Club of Kingsport for 12 years.

Our Collections Manager is Peggy Oliver. She has been active in the collections industry for 35 years, 14 of which has been with MCOT. Mrs. Oliver manages the collector’s activities as well as verifying that all compliance requirements are met in the company. She also works closely with clients to resolve consumer disputes on accounts. In addition she assists in cultivating relationships with our clientele and provides exceptional customer service.

Account Representatives

All our account representatives undergo extensive training consistent with the Fair Debt Collection Practices Act (FDCPA) and the Association of Credit and Collection Professionals (ACA). Our staff attends training periodically to get the latest information and updates that affect our industry. The retention rate for our staff is very high. Some of our representatives have been with MCOT for 20 years.


Collection Associations

National Healthcare Collectors Association, (NHCA)
Association of collections associates, (ACA)
Tennessee Collector’s Association, (TCA)

Healthcare Associations

Healthcare Financial Management Association, (HFMA)
Medical Group Management Association, (MGMA)


This is an attempt to collect a debt. Any information obtained will be used for that purpose.This collection agency is licensed by the Tennessee Collection Service Board of the State Department of Commerce and Insurance.