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
All agencies are evaluated on DesignRush for demonstrated expertise and authentic client reviews to support your decision. Certain placements are paid.
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.
Reviews verified by DesignRush and sourced from the agency's profile
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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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US-Based Outbound SDR Agency. Boutique. Multi-Channel. Real Pipeline.
Leadium is a US-based B2B outbound SDR agency running cold email, cold calling, and LinkedIn programs for companies that need qualified pipeline without building an in-house team. Boutique model. 100% US-based execution. Founder-led delivery on every account...
Top Services:
Email Marketing
BPO
CRM Consulting
Business Consulting
Direct Marketing
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Location
Las Vegas, Nevada
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Minimal Budget
Under $1,000
Leadium Services
Email Marketing
BPO
CRM Consulting
Business Consulting
Direct Marketing
Customer Support
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Square
Rackspace
Microsoft
LG
DirecTV
OSRAM
Time Logistics
Palo Alto Networks
Amada Senior Care
brightwheel
Data sourced from the agency's DesignRush profile
Leadium Reviews & Testimonials
Scott Proffitt
VP of Sales at Energy Assurance
5.0★
AI Marketing Review from Scott Proffitt
Our monthly leads have gone up by 3x with Leadium. This allows us to focus on production efficiencies.
Sam Jennings
Sales Manager at Best Bees Company
5.0★
Call Centers Review from Sam Jennings
Finding Leadium changed the way our team operates. They've been able to fill our pipeline with the people we want to talk to so we can focus on beekeeping.
Marcos Moura
Founder and COO at Amada Senior Care
5.0★
Call Centers Review from Marcos Moura
Leadium is able to speak to our prospects as if they're Amada themselves. They're filling our pipeline in a way we couldn't!
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Billing MedTech streamlines medical billing with tech-powered solutions that boost revenue, reduce denials, and simplify RCM. Supporting 80+ practices across 35+ specialties, we help healthcare providers focus on patient care while we handle billing with accuracy, transparency, and speed...
Top Services:
BPO
Location
Texas City, Texas
Number of Employees
Under 49
Average Hourly Rate
$15/hr
Minimal Budget
Under $1,000
Portfolios Count
2 Projects Listed
Billing MedTech Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dental Industry
Health Care Industry
Recreation & Travel Industry
Insurance Industry
Data sourced from the agency's DesignRush profile
Billing MedTech Reviews & Testimonials
Mick Fennimore
Review from Google
5.0★
Mick Fennimore's Review Sourced from Google
Their service gives me peace of mind. I know my claims are handled correctly and payments arrive on time.
Ryan Collins
Review from Google
4.0★
Ryan Collins's Review Sourced from Google
As the office manager of a clinic here in Texas, I can honestly say outsourcing was the best choice we made. The billing service has been accurate, proactive, and has given our physicians more time to focus on patient care.
Brandy Weiner
Review from Google
5.0★
Brandy Weiner's Review Sourced from Google
I run a private practice in Texas, and finding reliable support was always a challenge. Their medical billing services have taken a huge weight off my shoulders, with faster reimbursements and fewer denials than ever before.
Reviews verified by DesignRush and sourced from the agency's profile
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Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...
Top Services:
BPO
Accounting
Location
Twentynine Palms, California
Number of Employees
50 - 99
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Cover Operation Services
BPO
Accounting
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.