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.

United States × Back Office Outsourcing × Insurance × Under $1,000 × Clear Filters
  • You Create, We Support.

    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
    • Show more
    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
      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 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
      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
      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
      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
  • 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
    • Show more
    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
      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
      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
      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!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • #1 Trusted Medical Billing Company

    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
      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
      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
      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 View All Reviews
  • Exceed Your Expectations!

    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
    • Retail Agency
    • Wholesale Broker
    • MGA & Carrier
    Data sourced from the agency's DesignRush profile

Related BPO Specializations in the US

Popular Services

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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