Healthcare Staffing Back Office Services

You recruit. We run the back office behind your healthcare staffing agency.

Unified Linc gives emerging healthcare staffing agencies access to payroll, billing, HR, and benefits infrastructure without requiring them to build an entire corporate office, plus first access to facility needs through our Partner Network. You stay focused on clinicians, clients, and placements. We run the engine behind them.

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Especially valuable for growing agencies with 5 to 50 active clinicians, the stage where new placements start to outpace the back office. You stay the employer of record and own every client relationship.

The real bottleneck

Two problems keep small staffing agencies small

Most staffing owners we talk to are fighting on two fronts at once. Solve only one and the other one caps your growth.

"I don't have enough clients."

Facility contracts, MSP relationships, and VMS access take time, research, applications, and constant follow up. Owners who are also running payroll rarely have that time.

"I can't support the clients I get."

Every new contract adds timecards, invoices, onboarding, benefits questions, and reconciliation. Without infrastructure, growth turns into late invoices, payroll errors, and burnout.

Unified Linc solves both sides. Through our Partner Network, member agencies get first access to facility needs, and we run the payroll, billing, HR, and benefits operations that keep those accounts healthy once you have them.

Clear lanes

You run the agency. We run the infrastructure.

You stay focused on

The work that grows your agency

Recruiting clinicians
Candidate relationships
Client and facility relationships
Placements and extensions
Your specialty expertise
Growth decisions

Unified Linc handles

The work that keeps it running

Payroll operations
Billing and accounts receivable
HR and employee administration
Benefits administration
First access to facility needs through our Partner Network
The reporting that ties it all together

The smarter comparison

Your back office should grow when your placements grow, not before.

The real choice is not Unified Linc or nothing. It is Unified Linc or building the internal staffing infrastructure you need to support growth: the hires, the systems, the processes, and the management time.

Building it in house

Hire payroll, billing, HR, and benefits staff before revenue supports them
Train each hire on staffing specific workflows
Write SOPs, build reports, and design controls from scratch
Cover gaps yourself when someone is out or leaves
Learn VMS billing and margin tracking by trial and error

With Unified Linc

A team that has already built these departments for a healthcare staffing agency
Clear, predictable pricing, so you know your back office costs at every stage of growth
Documented processes, audits, and reporting from day one
Coverage that does not depend on one person
Staffing billing handled by people who know VMS and margin

What we run

Back office services for healthcare staffing agencies

Choose one service, bundle a few, or hand us the complete back office, then apply to join our Partner Network. Every service is built around how travel, per diem, local contract, and allied staffing actually works.

Staffing payroll operations

Weekly payroll for clinicians is not standard payroll. Stipends, per diem, reimbursements, bonuses, and multi-state requirements all move through every pay run. We manage the process from timecard to payroll file.

Every timecard collected, reviewed, and chased
Stipend, per diem, and reimbursement workflows run to your policy
Payroll reconciled and audited before it goes out
Corrections handled directly with your payroll provider

See everything included in payroll operations

Timecard collection
Timecard review
Missing timecard follow up
Payroll reconciliation
Pay calculations
Taxable wage calculations
Stipend workflows
Per diem workflows
Reimbursements
Bonuses
Deductions
Garnishments
PTO tracking
Payroll file preparation
Payroll audit
Payroll provider communication
Payroll corrections
Payroll reporting

Your agency remains the employer of record and keeps its payroll provider. Unified Linc manages the process.

Staffing billing and accounts receivable

Staffing billing is not normal bookkeeping. It depends on how the contract, timecard, payroll, invoice, VMS, bill rate, and employee pay all line up. We reconcile every step so you get paid correctly and on time.

Invoices prepared and submitted on schedule
VMS invoices reconciled to timecards and payroll
Short payments and disputes researched and resolved
Gross margin reporting you can actually trust

See everything included in billing and AR

Invoice preparation
Invoice submission
VMS invoice reconciliation
Timecard to invoice reconciliation
Facility billing
Rate verification
Payment posting
Aging reports
Collections follow up
Credit memos
Invoice disputes
Short payment research
Payroll to billing reconciliation
Gross margin reporting

HR and employee administration

Your clinicians are employees in multiple states, often on short assignments. We run HR like a staffing operations department, not a generic virtual assistant service.

Clean onboarding, I-9, and personnel files
Workers' compensation and unemployment handled
Employee relations documented the right way
State employment requirements tracked for you

See everything included in HR administration

Employee onboarding
I-9 administration
E-Verify administration where applicable
Employee records
Policies
Workers' compensation coordination
Unemployment administration
Employee relations
Corrective action documentation
Terminations
Handbooks
Attendance documentation
Leave administration
State employment requirement tracking
Personnel file maintenance
Employee questions

Benefits administration

Benefits for a traveling workforce change with every start, end, and extension. We keep eligibility, enrollment, deductions, and carrier invoices in sync.

Eligibility tracked across assignments
Enrollment and open enrollment managed
Deductions reconciled to carrier invoices
Clinician benefits questions answered

See everything included in benefits administration

Eligibility tracking
Enrollment administration
Employee benefits questions
Carrier coordination
Deduction reconciliation
COBRA coordination
Open enrollment
Employee communications
Broker coordination
Carrier invoice reconciliation
Census maintenance

Your agency keeps its own benefit plans and broker. Unified Linc administers the processes.

The Unified Linc Partner Network

An invitation only network of healthcare staffing agencies that get first access to facility needs. When a facility comes to Unified Linc with a need, we go to our partner agencies first, before any agency outside the network ever hears about it.

First look at new facility needs
Exclusive rights to fill the facilities you are matched with
Opportunities you would not find on your own
A limited, vetted group of partner agencies

How the Partner Network works

Apply to join the network
We review your specialties, coverage, and capacity
A facility brings a staffing need to Unified Linc
We offer it to partner agencies first
Your agency fills the need and holds the facility relationship
Needs go outside the network only if partners cannot fill them

Membership is limited and by application. Partnership terms are shared with approved agencies.

Why specialization matters

Staffing back office is not normal bookkeeping

In healthcare staffing, especially when MSP and VMS programs are involved, billing is not a simple invoice-and-payment process. The financial chain looks more like this:

Contract→Bill Rate→Approved Timecard→Employee Pay→Payroll→VMS Reverse Invoice→Disputes & Reconciliation→Remittance→Payment Posting→Gross Margin

Each step depends on the one before it.

The contract establishes the bill rate, overtime, holiday, on call, callback, and other billing terms. The facility approves the clinician's time. Payroll must then match the approved pay package and hours worked.

From there, many MSP and VMS programs use reverse invoicing, meaning the VMS creates the invoice based on approved time and contracted rates. Unified Linc then reconciles that invoice, identifies rate or hour discrepancies, disputes errors before payment is finalized, and tracks the eventual remittance back to the correct clinician, assignment, and workweek.

A general bookkeeper may see the invoice and payment. Unified Linc follows the entire chain.

We reconcile

Contracted rates against VMS invoice rates
Approved time against payroll
Payroll against the traveler's pay package
VMS fees against expected revenue
Disputes and corrections before payment
Bulk remittances against individual assignments
Actual revenue against expected gross margin

When one link is wrong, the issue can quietly reduce margin week after week. That is why specialization matters.

Unified Linc helps small staffing agencies protect the financial integrity of every placement without having to build a full internal payroll, billing, and finance department.

Systems experience

We already work in the systems staffing agencies use

No learning curve on your platforms. Our team has hands on experience across all major VMS platforms plus the ATS, payroll, compliance, and communication tools healthcare staffing agencies rely on.

All major VMS platforms
LaborEdge Nexus
Employdrive
Paycor
Vivian
ADNI
UNA
Relias
Salesforce
TargetRecruit
MuleSoft
Zoho CRM
Zoho Recruit
Twilio
Sense
Dialpad

Who runs your back office

Built by people who built a healthcare staffing agency's back office from scratch

We are not consultants who read about staffing. We have run payroll, billing, credentialing, benefits, HR, and recruiting inside a growing healthcare staffing agency.

~$22M

Annual revenue our founders helped a healthcare staffing agency scale to

States of multi-state staffing operations managed

95%+

Successful traveler start rate maintained in credentialing

Years building a healthcare staffing agency's back office

Co-founder

Lindsey Meske

Lindsey joined Junxion Med Staffing about a year after it launched and built each core department from the ground up, including payroll, reverse billing, credentialing, benefits, and recruiting. Over 9+ years she helped support its growth to approximately $22M in annual revenue.

She led the agency through its initial Joint Commission certification and later audits, led its ATS transition, and built the automation, integrations, and data models that reduced manual work across departments.

Co-founder

Nicole Evans

Nicole brings 15+ years in business operations, HR, payroll, and benefits. At Junxion Med Staffing she oversaw people operations, payroll, and benefits for 100 to 250 travel healthcare professionals across 35 states, managed multi-state compliance, oversaw credentialing operations with a 95%+ successful start rate, and helped lead the TargetRecruit and Salesforce implementation.

Before that, she managed HR and payroll for 300 to 400 employees at a staffing firm, maintained I-9 and E-Verify compliance, and supported EEOC and Department of Labor matters.

Pricing

Healthcare staffing back office pricing that scales with you

Every package combines a monthly base with a per clinician weekly fee, so your cost follows your placements. A one time setup fee covers process design, system configuration, and transition.

Payroll + Billing

$1,000/mo

+ $50 per clinician per week

Payroll operations plus billing and accounts receivable, reconciled together.

Minimum: $2,000/mo
Setup: $4,000 to $7,000

Payroll + HR

$1,400/mo

+ $55 per clinician per week

Payroll operations plus HR and employee administration.

Minimum: $2,500/mo
Setup: $5,000 to $8,000

HR + Benefits

$1,250/mo

+ $38 per clinician per week

HR and employee administration plus benefits administration.

Minimum: $2,000/mo
Setup: $4,000 to $7,000

Payroll + Billing + HR

$1,750/mo

+ $70 per clinician per week

The three services most agencies outgrow first, run as one system.

Minimum: $3,000/mo
Setup: $7,500 to $12,000

Most complete

Complete Back Office

$2,000/mo

+ $80 per clinician per week, with volume pricing

Payroll, billing and AR, HR administration, and benefits administration.

Minimum: $3,500/mo
Setup: $8,000 to $15,000

Partner Network

By application

Limited membership for vetted agencies

First access to facility needs that come through Unified Linc, with exclusive rights to the facilities you are matched with.

Terms: Shared with approved partner agencies

Complete Back Office volume pricing

Your per clinician rate drops as your agency grows, so you are never paying top rate across your whole workforce.

Clinicians 1 to 25

$80/wk

Clinicians 26 to 50

$65/wk

Clinicians 51 to 75

$55/wk

76 and up

Custom

See standalone service pricing

Service	Ongoing pricing	Monthly minimum	Setup
Payroll Administration	$750/mo + $35 per clinician per week	$1,500	$2,500 to $5,000+
Billing + AR	$650/mo + $25 per clinician per week	$1,250	$2,000 to $4,500
HR Administration	$1,000/mo + $30 per clinician per week	$1,500	$3,000 to $6,000
Benefits Administration	$500/mo + $12 per eligible employee per week	$750	$1,500 to $3,500 ($3,000 to $5,000 if benefits must be built)

Starting a new staffing agency?

Staffing Agency Launch

$12,500

For new agencies that need the infrastructure built before the first placements scale. After setup, you move into the monthly package that fits.

Also available: Launch Lite at $7,500 and Full Launch at $20,000, scoped on a discovery call.

What the launch can include

Payroll infrastructure
Billing infrastructure
HR and benefits infrastructure
ATS and CRM workflows
Timekeeping workflows
Employee and client onboarding
Vendor application processes
Business development infrastructure
SOPs
Calculators and dashboards
Audit checklists

How it works

From first call to a running back office

Discovery call

We learn your agency, your clinician count, your systems, and where the back office is breaking down.

Package and scope

We recommend the services that fit and scope the setup work so there are no surprises.

Setup and transition

We map your workflows, configure your systems, document SOPs, and take over processes in a planned order.

Run and report

We run the work every week and give you clear reporting on payroll, AR, and margin.

Who it's for

Built for small and emerging healthcare staffing agencies

A strong fit if you

Have 5 to 50 active clinicians, or are just starting out
Place travel, per diem, local contract, or allied clinicians
Are the owner and also the payroll, billing, and HR department
Bill through VMS or MSP programs, or want to
Want to grow placements without hiring a full back office team

What stays yours

Employer of record status
Your payroll provider
Your benefit plans and broker
Your client and clinician relationships
Final say on rates, contracts, and policies

FAQ

Healthcare staffing back office questions

Is Unified Linc a PEO or employer of record?

No. Your agency remains the employer of record and keeps its own payroll provider, benefit plans, and insurance. Unified Linc manages the back office processes on your behalf.

Do we have to switch payroll providers or systems?

No. We work inside the payroll, ATS, VMS, and CRM systems you already use. If your systems are holding you back, we can help you evaluate and implement better ones.

What size staffing agency do you work with?

We focus on healthcare staffing agencies with 5 to 50 active clinicians, including new agencies that are just starting out. Larger agencies can work with us on custom pricing.

How is pricing calculated?

Each package has a monthly base fee plus a weekly fee per active clinician, with a monthly minimum and a one time setup fee. The Complete Back Office package includes volume pricing, so your per clinician rate drops as you grow.

Can we start with just one service?

Yes. You can start with payroll, billing, HR, or benefits on its own and add services as your agency grows.

Do you handle stipends and per diem for travel clinicians?

Yes. We administer stipend, per diem, and reimbursement workflows according to your agency's policies. Tax home and taxability determinations stay with your agency and its tax advisor.

Do you handle credentialing?

Credentialing runs through a trusted referral partner. Our founders have built credentialing departments and Joint Commission processes before, so we make sure credentialing connects cleanly to onboarding, payroll, and billing.

How does the Partner Network work?

The Partner Network is a limited, invitation only group of healthcare staffing agencies. When a facility brings a staffing need to Unified Linc, we offer it to partner agencies first, and the agency matched with that facility holds exclusive rights to it. Membership is by application, and terms are shared with approved agencies.

Keep recruiting. Let us run the rest.

Book a discovery call and we will walk through where your back office stands today and which package fits your agency.

Book a discovery call Email info@unifiedlinc.com

Unified Linc provides outsourced administrative and operational services. Unified Linc is not a professional employer organization (PEO), employer of record, staffing agency, insurance provider, or tax, legal, or benefits advisor. Client agencies remain the employer of record for their workers and are responsible for their own employment, tax, benefits, and regulatory decisions. Pricing shown is a starting point and final pricing is confirmed in a written agreement.