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
12 Companies-Rankings updated: September 07, 2026
Every agency on DesignRush meets evaluation criteria around expertise and client feedback to empower informed choices. Some listings include paid partnerships.
America's best phone answering service taking care of your callers
As the worlds customer conversation experts, Moneypennys unique blend of brilliant people and AI technology integrates seamlessly to deliver customer communications that unlock valuable opportunities for businesses, 24/7. Available across all voice and text channels, Moneypenny responds to and fulfills...
Top Services:
Call Centers
Phone Answering Services
Customer Support
Location
Duluth, Georgia
Number of Employees
1000 & Up
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
Moneypenny USA Services
Call Centers
Phone Answering Services
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Critter Control
The Federal Savings Bank
Sterne Kessler
BMW
Keller Williams
The Glass Guru
Eagle Biosciences
Charleston Heating & Air
Data sourced from the agency's DesignRush profile
Moneypenny USA Reviews & Testimonials
Eric Martin Owner at Undisclosed
5.0★
Call Centers Review from Eric Martin
The salesman, Luke?, was very responsive and knowledgeable, a true professional. On boarding with Bailey, was easy and very thorough. Getting on board with an answering service had a lot more detail than I expected and Bailey was very patient and did not rush the process.
Benjamin Rose CEO at Undisclosed
5.0★
Call Centers Review from Benjamin Rose
I needed to get two new numbers set up quickly and Marti Ramirez was able to immediately help me out immediately. Also, Marti had some great suggestions for the scripting that was greatly appreciated. He even went above and beyond to check my multiple other accounts to make sure everything was OK with them. Marti is definitely an employee that goes above and beyond. Thanks again Marti!
Benjamin Rose Founder at Undisclosed
5.0★
Phone Answering Services Review from Benjamin Rose
I needed to get two new numbers set up quickly and Marti Ramirez was able to immediately help me out immediately. Also, Marti had some great suggestions for the scripting that was greatly appreciated. He even went above and beyond to check my multiple other accounts to make sure everything was OK with them. Marti is definitely an employee that goes above and beyond. Thanks again Marti!!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Remofirst was founded in 2021, remote-first since the very beginning. Our mission is to simplify the way companies build remote teams. We believe in people, excellence, and delivery. Our pricing starts at $199/month...
Top Services:
HR Outsourcing
Accounting
Customer Support
Location
San Francisco, California
Number of Employees
50 - 99
Minimal Budget
Under $1,000
Remofirst Services
HR Outsourcing
Accounting
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mastercard
University of Cambridge
Zocdoc
Labster
Microsoft
Data sourced from the agency's DesignRush profile
Remofirst Reviews & Testimonials
Janice Kay Mamo Human Resources Manager at Weavr
5.0★
Customer Support Review from Janice Kay Mamo
Remofirst provided outstanding support for our remote team, making the entire process seamless and stress-free. Their dedicated account manager handled everything efficiently, from work permits to onboarding team members across multiple countries. Their personalized approach and streamlined EoR service exceeded our expectations. Highly recommended for hassle-free global workforce management!
Martin P. Head of Marketing at BetVictor
5.0★
Customer Support Review from Martin P.
RemoFirst enables me to work remotely and stay compliant in my home country. It’s also very helpful for submitting and managing expenses, making it a great addition to my primary HR platform with its admin features. The platform is simple, intuitive, and easy to navigate, with more than adequate functionality for getting things done efficiently.
Kaniyet Rayev Co-Founder and CEO at Appboxo
5.0★
Customer Support Review from Kaniyet Rayev
RemoFirst’s pricing stood out to me among competitors, along with their 24-hour support, which is important when you’re hiring people around the world. Their platform has been easy to use and our onboardings have been smooth. I would definitely recommend using RemoFirst as your EOR for any global hires.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Dear entrepreneurs and small businesses: we see you, and we're here to help you thrive. We know you're facing challenges that would make even the most seasoned CEO break a sweat. That's why we've crafted marketing solutions that are as affordable as they are impactful...
Top Services:
Digital Marketing
Digital Services
Branding
Content Marketing
Video Marketing
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Location
Birmingham, Alabama
Number of Employees
50 - 99
Average Hourly Rate
$9/hr
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
Lumikha Teams Services
Digital Marketing
Digital Services
Branding
Content Marketing
Video Marketing
Email Marketing
Social Media Marketing
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Apollo Lettings
AirLegit
Curran Daly +Associates
GetDevs
Camplify
Knowedia
Study.com
Thames River Investments
WorkFlex Solutions
Westcott Dyson
Data sourced from the agency's DesignRush profile
Lumikha Teams Reviews & Testimonials
Cade Taylor Digital Marketing Manager at Acuren
5.0★
SEO Review from Cade Taylor
They provides SEO, PPC, and website optimization services for an NDE/NDT, inspection, and engineering company. Their work has included SEO strategy development, paid media ads, and web development.
Jak Akdogan CEO & Founder, at Cevaheer
5.0★
SEO Review from Jak Akdogan
Lumikha Teams provides SEO services for a skin and haircare company. They focus on improving the client's organic search visibility and monitoring performance. Their work includes technical SEO.
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
The firm offers tax, accounting and consulting services. We handle the back-office and bookkeeping functions of many private companies in South Florida. We are also happy to report that our lists continue to grow...
Top Services:
Business Consulting
BPO
Accounting
Location
Fort Lauderdale, Florida
Number of Employees
Under 49
Average Hourly Rate
$250/hr
Minimal Budget
Under $1,000
Portfolios Count
1 Project Listed
CPA Firm South Florida Services
Business Consulting
BPO
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Fort Lauderdale Healthtrust
Tax Doctor
Gusto Properties
Data sourced from the agency's DesignRush profile
CPA Firm South Florida Reviews & Testimonials
Aurelio Schiavinato Review from Google
5.0★
Aurelio Schiavinato's Review Sourced from Google
Have had great experiences with this CPA firm! They are highly experienced in international tax matters, including preparing FBARs. They always make me feel confident in their expertise. They are responsive and return my phone calls promptly, which is really appreciated. Their fees are fair, making the whole process smooth and stress-free. Highly recommended!
Lea Review from Google
5.0★
Lea's Review Sourced from Google
Peter is amazing and super quick! His professionalism and knowledge are first class. I am so thankful I found him and you will be too!
Anil Poonai Review from Google
5.0★
Anil Poonai's Review Sourced from Google
Have been using this firm for years. They are great. I am a pretty busy person and this accounting firm works around my schedule. They log in at night and get things done sometimes, for this I am grateful. Looking for a reasonably priced CPA firm with years of experience, then you have found the right place. Thank you Peter Rudolph CPA!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
N2S offers global workforce solutions, enabled by local expertise. This done by simplifying the hiring process through extensive payroll support and focus on compliance...
Top Services:
Business Consulting
BPO
HR Outsourcing
Location
Jersey City, New Jersey
Number of Employees
1000 & Up
Minimal Budget
Under $1,000
N2S Global Services
Business Consulting
BPO
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Nicoya Tech is a U.S.-based outsourcing and digital services agency that helps businesses reduce operational costs by 30% to 60% through offshore solutions. Specializing in BPO services such as customer support, data processing, and back-office operations, Nicoya Tech also offers web development and digital...
Top Services:
BPO
Customer Support
Location
Orlando, Florida
Number of Employees
Under 49
Minimal Budget
Under $1,000
Portfolios Count
2 Projects Listed
Nicoya Tech Services
BPO
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ExpertCallers, a Flatworld Solutions company, strives to help you build and nurture exceptional relationships with your customers. With over 12 years of experience in providing timely, reliable and efficient call center outsourcing services, we have perfected the art of transforming customer experiences into...
Top Services:
Call Centers
Creative Services
eCommerce
BPO
Customer Support
Show more
Location
Princeton, New Jersey
Number of Employees
500 - 999
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
Expertcallers Services
Call Centers
Creative Services
eCommerce
BPO
Customer Support
Phone Answering Services
Market Research
Business Consulting
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
AssistTree delivers expert support with virtual assistant services, offering dedicated virtual assistants, digital marketing support, and specialized real estate assistance. We help startups and SMBs streamline operations, boost productivity, and growth...
Top Services:
Digital Marketing
SEO
BPO
Customer Support
HR Outsourcing
Show more
Location
Boca Raton, Florida
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Assisttree Services
Digital Marketing
SEO
BPO
Customer Support
HR Outsourcing
Web Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We are a dedicated team committed to providing our clients with a fully transparent end-to-end solution. Elevate your revenue cycle with our efficient services, available at rates as competitive as 3.99% of the collection. Our dedicated team is driven by the objective of delivering a comprehensive end-to-end...
Top Services:
BPO
Location
Columbia Heights, Minnesota
Number of Employees
250 - 499
Average Hourly Rate
$1/hr
Minimal Budget
Under $1,000
Zmed Solutions Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Healthcare Industry
Finance Industry
Corporate Services Industry
Data sourced from the agency's DesignRush profile
Zmed Solutions Reviews & Testimonials
priscilla Atu-tetuh Review from Google
5.0★
priscilla Atu-tetuh's Review Sourced from Google
Robb was very kind to reopen my case with BCBS to credential me.hi very patient in assisting explaining in detail what you need to do. He will also go out of his way to call the insurance and we had a three way conversation. That was very helpful. Thank you Robb.
Gabriel Eleda Review from Google
5.0★
Gabriel Eleda's Review Sourced from Google
This credentialing company is dependable and communicates very effectively. They provide excellent customer service and consistently get things done in a timely manner.
Woke Enterprises Review from Google
5.0★
Woke Enterprises's Review Sourced from Google
Zmed Solutions has been very professional and prompt in returning calls or following up on emails. They have been very efficient with the credentialing panel for two states and have kept me updated on the progress. You will not go wrong by selecting Zmed Solutions for your credentialing needs.
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.