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
5 Companies-Rankings updated: September 07, 2026
Each agency listed on DesignRush is assessed for industry expertise and customer testimonials are evaluated in order to provide you with a vetted selection. Certain listings represent paid partnerships.
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
Hire A Remote AI Specialist, Not Another VA Stuck In 2015.
We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...
Top Services:
BPO
Location
Clearwater, Florida
Number of Employees
Under 49
Minimal Budget
$1,000 - $10,000
WiseVAs Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
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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. 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 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 Review from Google
5.0★
angelic lopez's Review Sourced from Google
"As a new clinic, we needed an affordable EHR and medical biting iodTpartner. 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
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
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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
Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...
Top Services:
BPO
Accounting
Call Centers
HR Outsourcing
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Location
St. Petersburg, Florida
Number of Employees
500 - 999
Clark Outsourcing Services
BPO
Accounting
Call Centers
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Integrity Financial
Infinity Energy Organization
Americare Respiratory Services
Data sourced from the agency's DesignRush profile
Clark Outsourcing Reviews & Testimonials
midori greene Review from Google
2.0★
midori greene's Review Sourced from Google
I should be giving them 1 star, but since the interview process went smoothly and the final interviewer was kind enough, I should consider that. I think what influenced me in providing this review is that after they're done with the application process. The recruiter said that they'll gonna keep us updated through the same platform where they created the group chat, but after sending us a feedback form, they just removed us from that GC without providing any reason why. And it took them a week before I could get any update if ain't for me asking them about it first. They thrive on empty promises and are not even proactive, which I think compromised my trust in their application process. Imagine, imagine waiting for a week instead of being able to move forward with another company, and if I hadn't done the initiative to reach out to them first, imagine how long they would keep holding me off. That's just being unprofessional. And what's funny is they literally have three Applicants for the position, and with one moving forward with his application, they are only left with two, but still, they couldn't even handle that kind of simple task. How incompetent, and it's disappointing that you're leading on candidates only to leave them hanging by a thread on their own. What a letdown. Such a frustrating experience.
Austin Grisham Review from Google
5.0★
Austin Grisham's Review Sourced from Google
Clark Outsourcing has been a key player in our success with clients. Team member that’s have been provided have become apart of our Green Leaf Solar & Electric family as we all work together to accomplish our goals with seeking new clients and moving clients through our sales pipeline. Our team members from Clark Outsourcing go above and beyond what they are asked and have performed extremely well regardless of what area they are asked to support of the business. We would not be where we are today without our team members from Clark Outsourcing.
Kim Roque Review from Google
5.0★
Kim Roque's Review Sourced from Google
We have hired 4 customer support agents through Clark Outsourcing. Their management team (Russell, Edward) is very cooperative and responsive. So far the agents are producing very good results and we are satisfied with the services.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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.