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

3 Companies - Rankings updated: September 07, 2026

DesignRush evaluates each agency using expert assessment and client feedback to inform your choices. Some featured agencies have paid placements.

Back Office Outsourcing
Professional Services
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United States × Back Office Outsourcing × Professional Services × Sort by: Avg Hourly Price: High to Low × Clear Filters

  • Optimized EA

    Support You Can Trust. Results You Can Measure.

    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
    • Show more
    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
    • Corporate Services Industry
    • Finance Industry
    • Transportation & Logistics Industry
    Data sourced from the agency's DesignRush profile
    Visit Website View Profile

  • FutureMD Solutions

    All-in-One AI-Powered EHR, Medical Billing & RCM

    FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    12 Projects Listed

    FutureMD Solutions Services

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Healthcare Practices
    • Dental Industry
    • Wellness & Fitness Industry
    • Medical and Diagnostic Laboratories
    • Medical Health Care
    • Medical Hospitals
    • Professional Services Industry
    • HR Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile

    FutureMD Solutions Reviews & Testimonials

    • Texas Medical Supply.
      Texas Medical Supply. Review from Google
      5.0 ★

      Texas Medical Supply.'s Review Sourced from Google

      FutureMD Solutions is exceptional for compleating our credentialing process in 100 days 5/5 ! Now they are helping us with our DME billing for fast 5 monthes so far very satisfied . our denials are at an all-time low. Highly professional and efficient—highly recommended for any medical equipment supplier!"

    • Leandro Ansart
      Leandro Ansart Review from Google
      5.0 ★

      Leandro Ansart's Review Sourced from Google

      "Switching to FutureMD Solutions completely transformed our medical billing process. Our claim approval rate increased, payments arrive faster, an their EHR system is very easy to use. If you're lookin for reliable medical billing and EHR services in the U this company delivers real results."

    • angelic lopez
      angelic lopez Review from Google
      5.0 ★

      angelic lopez's Review Sourced from Google

      "As a new clinic, we needed an affordable EHR and medical biting iodT partner. Futuremd set up talkEHR /EHR for us for very minimum setup fee, handled credentialing, and managed billing seamlessly. Great service, transparent pricing, and excellent customer support."

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
    Visit Website View Profile
    5.0 5.0 (23)

  • Ellite Assistant

    Virtual Assistant Services That Give You Your Time Back

    Ellite Assistant is a professional remote staffing and virtual assistant services company that provides dedicated remote support to businesses. The company helps business owners and teams delegate administrative, customer service, sales, marketing, technical, research, and operational tasks to virtual...

    Top Services:

    • Business Consulting
    • Digital Services
    • HR Outsourcing
    • Customer Support
    • Managed Services
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed

    Ellite Assistant Services

    • Business Consulting
    • Digital Services
    • HR Outsourcing
    • Customer Support
    • Managed Services
    • AI Development
    • Social Media Marketing
    • Digital Marketing
    • SEO
    • AEO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Usautopart Source
    • Global IT Advisory LLC
    • Arrowscope IT Solutions
    Data sourced from the agency's DesignRush profile
    Visit Website View Profile

Related BPO Specializations in the US

Popular Services

Why People Trust DesignRush

Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding back office outsourcing services in the United States. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.

DesignRush rating logos on Trustpilot and Google

Learn more about DesignRush Agency Ranking Methodology.

Sources

DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:

  • Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
  • The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.

Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.

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?

Back office outsourcing services in the United States cost between $25 and $149 per hour: 

  • 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. 

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