Former HR/nurse administrators? Billing the hospitals

[ryanstum15]

Hello,

I am looking to pick the brain of anyone who has worked in HR of a hospital or is a former administrator of some sort in a hospital.

My questions: 1) If a nurse travel agency was calling to get a contract with a hospital where a travel employee has already interviewed and manager approves of this employee, who would the agency call first to say "hey so and so interviewed with your manager, and she wants so and so to work for you all, but we don't currently have a contract with your hospital." I'm assuming this is how the conversation goes, and if so, who would the travel agency be saying those things to? An administrator, any person who works in HR, a specified person in the hospital, or is there usually a manager over HR that handles all new contracts?

2) As far as billing a hospital, I'm assuming when the contract is set up, they will tell you where to invoice/bill and give you a fax number and what not or do you just ask them where to send invoices to? Also, when is the bill rate usually mentioned? As soon as the process starts? If so is the agency able to say "well you offered us $55 hourly bill rate, would you be willing to come up to $58?"

I just need someone very knowledgeable with this process and feel free to correct me anywhere that I was not correct and give any information you have.

Thank you