Company Description iSight Technology is an Arizona-based AI, Salesforce, and technology staffing company focused on delivering innovative technology services and connecting businesses with highly skilled IT professionals. The organization partners with clients to accelerate digital transformation, streamline processes, and improve operational efficiency.

By providing tailored staffing solutions and technology expertise, iSight Technology supports sustainable business growth across diverse industries. Team members are encouraged to contribute to a culture of collaboration, continuous learning, and customer-centric service.

Role Description

Position: Billing & Payroll Operations Specialist

Industry: Healthcare / Nursing Staffing

Employment Type: Full time

Experience: 2–5 Years (Healthcare Staffing Experience Preferred)

Location: Remote

Job Summary

We are seeking a detail-oriented and organized Billing & Payroll Operations Specialist to manage day-to-day back-office operations for our nursing staffing agency.

The ideal candidate will be responsible for managing employee timesheets, client invoicing, payroll coordination, payment tracking, and maintaining accurate financial and operational records.

The candidate should have experience working in a staffing agency, preferably in healthcare staffing, and be comfortable managing multiple clients, healthcare facilities, and nursing professionals.

Key Responsibilities

1. Timesheet Management & Verification

Collect and review weekly timesheets from nurses, CNAs, LPNs, RNs, and other healthcare professionals.

Verify hours worked against approved schedules and facility confirmations.

Identify and resolve missing timesheets, incorrect hours, and discrepancies.

Track regular hours, overtime, holiday hours, and applicable shift differentials.

Ensure timesheets are approved before payroll and invoicing deadlines.

2. Client Billing & Invoicing

Prepare and send accurate weekly or biweekly invoices to healthcare facilities and clients.





Validate billing rates against client contracts and approved rate sheets.

Calculate billable hours, overtime, holiday premiums, and other applicable charges.

Maintain organized billing records for each client and assignment.

Handle billing inquiries, corrections, and disputes.

Ensure invoices are submitted according to client requirements and deadlines.

3. Payroll Processing & Coordination

Prepare accurate payroll data based on approved timesheets and employee pay rates.

Coordinate with payroll providers or internal accounting teams to ensure timely payments.

Verify regular pay, overtime, bonuses, reimbursements, and applicable deductions.

Resolve payroll discrepancies and respond to employee payment inquiries.

Maintain payroll records and supporting documentation.

4. Accounts Receivable & Payment Tracking

Track outstanding invoices and client payment status.

Maintain accounts receivable aging reports.

Follow up with clients on overdue payments.

Reconcile received payments against outstanding invoices.

Escalate delayed payments and unresolved billing disputes to management.

5. Back-Office Operations & Reporting

Maintain accurate records of client contracts, billing rates, employee pay rates, and assignments.

Coordinate with recruiters and scheduling teams to resolve operational discrepancies.

Generate weekly reports on invoicing, payroll, outstanding receivables, and billing issues.

Track gross margins by employee, assignment, or client.

Identify opportunities to improve billing accuracy and operational efficiency.

Maintain confidentiality of employee, client, and financial information.

Required Qualifications

2–5 years of experience in billing, payroll coordination, accounting operations,



or staffing agency back-office administration.

Experience with healthcare staffing, nursing staffing, or temporary staffing operations preferred.

Strong knowledge of timesheet processing, invoicing, and payroll workflows.

Proficiency in Microsoft Excel, including formulas, lookups, and reconciliation.

Experience with QuickBooks, ADP, Paychex, or similar accounting/payroll systems.

Strong attention to detail, organizational skills, and ability to meet weekly deadlines.

Excellent written and verbal communication skills.

Ability to independently manage multiple clients and employee records.

Preferred Qualifications

Experience with healthcare staffing platforms such as Bullhorn, Avionté, or similar systems.

Familiarity with hospital and healthcare facility billing processes.

Understanding of staffing agency bill rates, pay rates, overtime calculations, and gross margins.

Experience managing accounts receivable and payment collections.

Experience with vendor management systems (VMS) and client invoice portals.

Key Performance Indicators (KPIs)

Performance will be measured against:

Timesheet Completion: 100% of required approved timesheets collected before processing deadlines.

Invoice Accuracy: Target of 99% or higher.

On-Time Invoicing: 100% of invoices submitted by agreed deadlines.

Payroll Accuracy: Target of 99.5% or higher, with all identified errors promptly corrected.

Accounts Receivable: Timely follow-up on outstanding invoices.

Reporting: Accurate weekly billing, payroll, and receivables reports.

Ideal Candidate

We are looking for someone who is proactive, dependable, highly organized, and capable of independently managing the billing and payroll administration of a growing nursing staffing agency.

The candidate should be comfortable working in a fast-paced environment with weekly payroll and invoicing deadlines while maintaining high accuracy and excellent communication with internal teams and healthcare clients.

📌 Billing & Payroll Operations Specialist (Tiruchirappalli)
🏢 iSight Technology
📍 Tiruchirappalli