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
17 Companies-Rankings updated: September 07, 2026
Every agency featured on DesignRush is vetted for expertise and client satisfaction to support your decision-making. Some listings may be sponsored.
MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...
Top Services:
Call Centers
Phone Answering Services
Customer Support
Business Consulting
BPO
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Location
Miami, Florida
Number of Employees
500 - 999
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
MiXBS, LLC Services
Call Centers
Phone Answering Services
Customer Support
Business Consulting
BPO
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
CDEK
Buch
Ramayoga
Imark Tech
SovPlym
KNOVR
Data sourced from the agency's DesignRush profile
MiXBS, LLC Reviews & Testimonials
Kevin Swindlehurst
Airline Operations Supervisor at Flightworx Aviation
5.0★
Customer Support Review from Kevin Swindlehurst
If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.
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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.
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Vetted Virtual Assistants with a Broad Range of Expertise
myVA360 provides on-going, on-demand support for businesses of all sizes. Get matched with a dedicated virtual assistant with a wide range of skills, for a fraction of the cost of hiring an employee...
Top Services:
BPO
Location
Miami, Florida
Number of Employees
Under 49
Average Hourly Rate
$24/hr
Minimal Budget
Under $1,000
myVA360 Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
A trusted strategic growth partner to todays top healthcare providers
AnnexMed is a premier RCM & healthcare payer services firm, founded in 2004. We deliver measurable results streamlining operations, cutting costs, and boosting revenue underpinned by deep expertise and a 99.1% client retention rate...
Top Services:
BPO
Location
Salt Lake City, Utah
Number of Employees
1000 & Up
AnnexMed INC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Wellness & Fitness Industry
Health Care Industry
Dental Industry
Data sourced from the agency's DesignRush profile
AnnexMed INC Reviews & Testimonials
ganesh uma
Review from Google
5.0★
ganesh uma's Review Sourced from Google
Very good Company to start up the carrier.., Can learn more about medical billing & Health care industry..,
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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 Businesses
We'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 Karoutsos
Director, 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
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Scale Your Business With Quality Outsourced Teams In Back Office Support.
RPM stands out as a comprehensive solution provider, offering bilingual expertise in both English and Spanish, with the flexibility to provide full-time or part-time dedicated resources, fully managed to meet diverse operational needs. Our capabilities span a wide spectrum, encompassing intricate back-office...
Top Services:
BPO
Customer Support
Call Centers
Staff Augmentation
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Location
San Jose, California
Number of Employees
100 - 249
Minimal Budget
Under $1,000
RPM Services
BPO
Customer Support
Call Centers
Staff Augmentation
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Transform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!
Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...
Top Services:
Digital Marketing
SEO
PPC
Social Media Marketing
Customer Support
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Location
Brookfield, Connecticut
Number of Employees
50 - 99
Saevah Services
Digital Marketing
SEO
PPC
Social Media Marketing
Customer Support
Web Development
Web Design
Graphic Design
Video Production
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Small Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
Business Consulting
Market Research
Accounting
BPO
CRM Consulting
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Location
Chicago, Illinois
Number of Employees
Under 49
Average Hourly Rate
$150/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
3 Projects Listed
Fred Lundin CPA LLC Services
Business Consulting
Market Research
Accounting
BPO
CRM Consulting
ERP Consulting
Cybersecurity
IT Services
IT Compliance Solution
Cloud Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
Accounting
HR Outsourcing
BPO
Location
Syracuse, New York
Number of Employees
100 - 249
Average Hourly Rate
$1/hr
Hiline Services
Accounting
HR Outsourcing
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Ritual
Vetted
Flow Kana
Data sourced from the agency's DesignRush profile
Hiline Reviews & Testimonials
Ryan McCarthy
Review from Google
5.0★
Ryan McCarthy's Review Sourced from Google
Have been using Hiline for the past 5+ years and they have been great. They manage all of my accounting, bookkeeping, and even HR services.
Tom Cooney
Review from Google
5.0★
Tom Cooney's Review Sourced from Google
Been using G&C since first day of business and have watched their team grow with ours! They are very knowledgeable, resourceful and quick to respond to our needs. The modern boutique fits perfectly with our operations!
Andy Orr
Review from Google
5.0★
Andy Orr's Review Sourced from Google
The Gardner & Capparelli are an incredible source of value, strategy, and support for our creative business. Our first year working with their tax team helped our internal accounting group identify previously unknown tax credits, as well as helping us better prepare for scaling our operations for years to come. I can't thank Matt, Jim, and their entire team enough!
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"Your Trusted Service Partner, Across the Nation."
ASK 2 PRO delivers expert virtual assistant services nationwide, helping businesses streamline tasks, boost efficiency, and expand their network. From admin to communication, we handle the details so you can focus on growth and success...
Top Services:
Web Development
Digital Marketing
AI Development
HR Outsourcing
Customer Support
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Location
New York City, New York
Number of Employees
50 - 99
Average Hourly Rate
$7/hr
ASK 2 PRO Services
Web Development
Digital Marketing
AI Development
HR Outsourcing
Customer Support
Phone Answering Services
IT Services
Market Research
Branding
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
BolsterBiz specializes in offshoring services designed to optimize efficiency and boost business performance. Our tailored solutions, including 24/7 Customer Support, Digital Marketing, and Data Analytics, cater to your unique business needs...
Top Services:
Customer Support
Staff Augmentation
BPO
Location
Wilmington, Delaware
Number of Employees
100 - 249
Average Hourly Rate
$8/hr
Minimal Budget
$1,000 - $10,000
BolsterBiz India LLP Services
Customer Support
Staff Augmentation
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...
Top Services:
Customer Support
BPO
Location
Kansas City, Missouri
Number of Employees
50 - 99
Average Hourly Rate
$5/hr
Minimal Budget
$1,000 - $10,000
Tasks Expert Services
Customer Support
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Piedmont Hemp Co
My Safety Consultant
ImPowered Minds
Data sourced from the agency's DesignRush profile
Tasks Expert Reviews & Testimonials
Katina LaFond
Review from Google
5.0★
Katina LaFond's Review Sourced from Google
Working with Myra has been such a gift. From the very beginning, she took the time to truly understand me, my vision, and the heart behind my work. She didn’t just check off tasks — she listened deeply, asked the right questions, and found my voice in a way that feels so authentic and aligned.
Her creativity, attention to detail, and dedication shine through in everything she does. Whether it’s developing content, organizing my ideas, or helping bring complex projects to life, Myra approaches each task with professionalism, thoughtfulness, and care.
What I appreciate most is her genuine investment in my success. She consistently goes above and beyond to make sure things not only get done, but get done beautifully. She’s patient when I get behind, quick to adapt when priorities shift, and always brings fresh ideas to the table.
Myra has become more than just a VA — she’s a trusted partner who understands the bigger picture and helps me move toward it with confidence. I feel incredibly lucky to have her on my team, and I can’t wait to see all we accomplish together.
Dan Charles
Review from Google
5.0★
Dan Charles's Review Sourced from Google
Having worked with Task Experts for a few months now, I've been really impressed with their proactive nature, communication and attitude towards doing the work right first time. They really go above and beyond to ensure that things are done in a timely manner and to a very high standard. After hiring my first VA (Max) with them to help with financial work, I now have a second VA who is doing technical work for us as well and they've both being very responsive and willing to help lighten the load for our business. I can't recommend them enough
Awobodede Jesutofunmi
Review from Google
5.0★
Awobodede Jesutofunmi's Review Sourced from Google
I recently had the pleasure of working with a fantastic virtual assistant company that truly exceeded my expectations. Their team was professional, responsive, and incredibly efficient in handling all the tasks I threw their way. From managing my schedule to tackling research projects, they delivered top-notch support with a friendly attitude. The seamless communication and attention to detail made my life so much easier—I can’t recommend them highly enough! If you’re looking for reliable, high-quality virtual assistance, this company is a game-changer.
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Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...
Top Services:
Customer Support
IT Services
BPO
Call Centers
Business Consulting
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Location
Cheyenne, Wyoming
Number of Employees
50 - 99
Average Hourly Rate
$15/hr
Portfolios Count
1 Project Listed
Malakos Healthcare Solutions Services
Customer Support
IT Services
BPO
Call Centers
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...
Top Services:
BPO
Customer Support
Transcription Services
Phone Answering Services
CRM Consulting
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Location
Phoenix, Arizona
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Star Billing Solutions Services
BPO
Customer Support
Transcription Services
Phone Answering Services
CRM Consulting
Managed Services
Cloud Consulting
AI Development
CRO
Digital Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
WeCare Billing LLC is a trusted medical billing and revenue cycle management company that helps healthcare providers maximize revenue through accurate billing, faster claim processing, proactive denial management, and compliance-focused solutions tailored to practices of all sizes...
Top Services:
BPO
Location
Boynton Beach, Florida
Number of Employees
100 - 249
Average Hourly Rate
$25/hr
WeCare Billing LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
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.