Explore top back office outsourcing services in the United States that help companies streamline operations, cut overhead costs, and improve accuracy through expert administrative support.
We Have Researched the Best US Back Office Outsourcing Services For You
8 Companies-Rankings updated: September 07, 2026
DesignRush vets all agencies based on professional qualifications and verified customer feedback to help you choose confidently. Some featured agencies maintain paid sponsorships.
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
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Location
Evesham, New Jersey
Number of Employees
50 - 99
Average Hourly Rate
$20/hr
Portfolios Count
3 Projects Listed
SwiftCare Billing LLC Services
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
Accounting
Web Design
Web Development
WordPress Website Design
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Dental Industry
Insurance Industry
HR Industry
BPO
Outsourcing
Medical Billing
Data sourced from the agency's DesignRush profile
SwiftCare Billing LLC Reviews & Testimonials
Julie Formica Office Administrator at Redefine Healthcare
5.0★
Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
24/7 Live Answering, Virtual Receptionist & Call Center Solutions
AnswerFirst helps businesses stay connected with real, helpful people answering every call day or night. No bots. No scripts. Just trained Customer Service Professionals who know how to support your customers when it matters most...
Top Services:
Phone Answering Services
Call Centers
Customer Support
Location
Tampa, Florida
Number of Employees
100 - 249
Minimal Budget
Under $1,000
AnswerFirst Communications Services
Phone Answering Services
Call Centers
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
AAMCO
ABM
AFC Urgent Care
AFLAC
Bauer Food, LLC (Operates McDonald's)
Berkshire Hathaway
Brookhaven National Lab
Coldwell Banker
Century 21
Cushman and Wakefield
Data sourced from the agency's DesignRush profile
AnswerFirst Communications Reviews & Testimonials
Johnson Legal PLLC Review from Google
1.0★
Johnson Legal PLLC's Review Sourced from Google
As a small law office, we used AnswerFirst for about a year. We opted not to have calls recorded as their system has an irritating "beep" that sounds in the background while customers are on the phone. We thought things were going well. Several months later we signed up for CallRail, which recorded all incoming calls. We began to see a pattern of poorly handled calls. When we shared this information with management, and offered to provide the recording, they said "no thanks." The probems continued. For instance one caller asked if we did simple Wills. The AnswerFirst agent said, "No, we only do Estate Planning." After sharing these simple issues with management nothing changed. We asked if they could give us an adjustment to our bill based on the poorly handled responses. They said "No." We notified them this week we were switching carriers and they acted like they could care less. DO NOT use them as they cannot handle the simplest of calls.
Demetri Karoutsos Review from Google
5.0★
Demetri Karoutsos's Review Sourced from Google
Outstanding After-Hours Answering Service – Highly Recommend for Service-Based BusinessesWe've transitioned to AnswerFirst about four months ago for our after-hours answering service needs, and they’ve exceeded every expectation. Their live agent support, combined with responsive customer service and advanced technology integration, has provided our team with a seamless and professional solution that far surpasses our previous provider.What sets AnswerFirst apart is their adaptability to our unique workflows, quick response times, and overall attention to detail. As a service business, having a reliable, U.S.-based call center is essential and AnswerFirst delivers with consistency and clarity.Their platform gives us the functionality we need, and the quality of their after-hours call handling has significantly improved both our internal efficiency and our customer experience.If you're a service-based company looking for high-quality live agents, professional support, and a partner who understands urgency and accountability, I highly recommend AnswerFirst. Exceptional value, exceptional team.Demetri KaroutsosDirector, CareMaster
Scott Lady Review from Google
5.0★
Scott Lady's Review Sourced from Google
Finally, and I mean FINALLY an inbound call center who does what they say they will do, and does it excellently.Danielle and Robert have been incredible helping me with my campaigns, and ensuring everything is flowing smoothly.I highly recommend giving them a shot for your call inbound call needs.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Personiv offers flexible outsourced accounting solutions to optimize finance operations and reduce costs. With a dedicated team approach, the firm empowers businesses to refocus on strategic initiatives while handling their day-to-day financial tasks efficiently and professionally. Personiv specializes in...
Top Services:
Accounting
BPO
HR Outsourcing
Location
Austin, Texas
Number of Employees
1000 & Up
Personiv Services
Accounting
BPO
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Cavinolr Recruiters specializes in connecting top-tier talent with organizations in CS, Retention , sales, life sciences, healthcare, and biotechnology sectors. The firm combines industry expertise with personalized strategies to deliver exceptional recruitment solutions tailored to clients' unique needs...
Top Services:
BPO
Phone Answering Services
Translation Services
Customer Support
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Location
Plantation, Florida
Number of Employees
250 - 499
Average Hourly Rate
$12/hr
Minimal Budget
$1,000 - $10,000
Cavinol Panama Services
BPO
Phone Answering Services
Translation Services
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...
Top Services:
BPO
Business Consulting
Branding
Logo Design
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Location
Terra Alta, West Virginia
Number of Employees
Under 49
Average Hourly Rate
$38/hr
Minimal Budget
Under $1,000
Optimized EA Services
BPO
Business Consulting
Branding
Logo Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Hexaware is a global technology and business process services company. Every day, Hexawarians wake up with a singular purpose: to create smiles through great people and technology. With offices across the world, we empower enterprises worldwide to realize digital transformation at scale and speed...
Top Services:
IT Services
Managed Services
AI Development
Software Development
Cloud Consulting
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Location
Jersey City, New Jersey
Number of Employees
1000 & Up
Hexaware Technologies Services
IT Services
Managed Services
AI Development
Software Development
Cloud Consulting
ERP Consulting
Big Data Analytics
BPO
CRM Consulting
Cybersecurity
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mobility and alternative energy company
Corporate legal services company
Renowned hotel and hospitality chain
Leading US based global airline
Data sourced from the agency's DesignRush profile
Hexaware Technologies Reviews & Testimonials
Saad Shaikh Review from Google
1.0★
Saad Shaikh's Review Sourced from Google
Laid me off with no reason, they won’t stand up for you as MSP, won’t fire the manager who doesn’t show up most of the time but will fire people who show up on time and do their job right. Worse company to work with. Was promised to fined me a different position but never heard from themI worked for more than a year.
Harsh Review from Google
1.0★
Harsh's Review Sourced from Google
Literally one of the worst companies that ever takes any interview. Asks technical questions that are completely irrelevant to the client requirements and are extremely rude and condescending, and also expect you to write coding solutions for their questions under 5 minutes. Next time their recruiters start calling me again, I’m blocking them
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
International Business Support Solutions for SME's and Large Enterprises
BusinAssist is a trusted global partner for entrepreneurs, startups and established businesses seeking seamless company incorporation, professional virtual offices and a wide range of business support services...
Top Services:
Business Consulting
Phone Answering Services
Accounting
BPO
Translation Services
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Location
Newark, Delaware
Number of Employees
Under 49
Minimal Budget
Under $1,000
BusinAssist Services
Business Consulting
Phone Answering Services
Accounting
BPO
Translation Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Professional Multilingual Communication And Support At Scale
Fluency LLC provides a comprehensive suite of human-led call center services designed to bridge communication gaps and enhance customer experience. Based in Columbus, Ohio, we specialize in high-stakes environments where linguistic precision and cultural empathy are essential...
Top Services:
Call Centers
BPO
Translation Services
Customer Support
Phone Answering Services
Show more
Location
Hilliard, Ohio
Number of Employees
Under 49
Minimal Budget
$1,000 - $10,000
Portfolios Count
2 Projects Listed
Fluency LLC Services
Call Centers
BPO
Translation Services
Customer Support
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Back Office Outsourcing Services in United States FAQs
What do back office outsourcing services in the United States do?
Back office outsourcing services in the United States handle internal business tasks that don’t face customers. This includes data entry, accounting, HR administration, payroll, IT support, document processing, and customer record management. These companies let businesses focus on core operations while experts manage routine tasks efficiently.
How do the best US back office outsourcing services help businesses improve efficiency and reduce costs?
The best US back office outsourcing services streamline repetitive work using automation, trained staff, and clear processes. This reduces payroll costs, lowers error rates, and speeds up operations. Companies save money on hiring and training while getting consistent results from specialized teams.
How much do back office outsourcing services in the United States cost?
Data entry, claims processing, payment handling, or virtual assistant tasks: under $25/hour
Finance and accounting outsourcing (FAO): $25–$49/hour
HR services: $25–$45/hour
Transcription: $15–$35/hour
Translation: $20–$60/hour
Content creation: $100–$149/hour
What factors affect pricing for back office outsourcing services in the United States?
The factors affecting pricing for back office outsourcing services in the United States include:
Task complexity
Skill level required
Software or tools used
Data volume
Contract length
Location and company reputation
How do I choose the right back office outsourcing services company in the United States?
To choose the right back office outsourcing services company in the United States, check their industry experience, service range, communication quality, data protection measures, and client reviews. Pick a company that offers clear pricing, scalable options, and regular performance reports.
How do top US back office outsourcing services ensure data security and compliance?
Top US back office outsourcing services use encrypted data transfers, restricted system access, NDAs, and secure cloud storage. Many follow standards like ISO 27001, GDPR, or HIPAA, depending on the industry, and conduct regular audits to prevent breaches.