Our directory features the top BPO companies in the USA, evaluated using five ranking criteria, 12 expert reviewers, and 263+ verified client reviews, giving you a reliable way to choose the best BPO provider.
Select the Best BPO Company in the USA
9 Companies-Rankings updated: September 07, 2026
DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.
Healthcare Billing Services provides reliable medical billing and revenue cycle management solutions designed to help healthcare providers get paid accurately and on time. We reduce administrative workload, improve reimbursement rates, and ensure compliant billing so providers can focus on patient care...
Top Services:
BPO
Location
Maryland Heights, Missouri
Number of Employees
Under 49
Average Hourly Rate
$500/hr
Minimal Budget
$50,000 & Up
Healthcare Billing Services Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
minubo offers the only complete out-of-the-box BI solution and analytics services for brands and retailers in omnichannel commerce. With our highly standardized and proven solution, we offer unprecedented time-to-operation and insights for every business user at our clients. Supported by our experienced...
Top Services:
eCommerce Development
BPO
Email Marketing
Location
Boston, Massachusetts
Number of Employees
Under 49
Average Hourly Rate
$150/hr
Minimal Budget
$50,000 & Up
minubo Services
eCommerce Development
BPO
Email Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Auxis is a leading management consulting and outsourcing firm specializing in AWS consulting. We help senior executives achieve peak performance in their back office by providing services such as Nearshore Outsourcing, Cloud Computing, Shared Services, RPA, Help Desk & Desktop Support, and Finance &...
Top Services:
Big Data Analytics
IT Services
BPO
Location
Fort Lauderdale, Florida
Number of Employees
500 - 999
Average Hourly Rate
$75/hr
Minimal Budget
$50,000 & Up
Auxis Services
Big Data Analytics
IT Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Expert Infusion Billing That Helps Your Practice Get Paid Faster
Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...
Top Services:
BPO
Location
Sheridan, Wyoming
Number of Employees
50 - 99
Average Hourly Rate
$70/hr
Minimal Budget
$50,000 & Up
Infusion Billing Services Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
OSP is a healthcare technology company dedicated to transforming the industry through innovative digital solutions. With more than 16 years of experience and a team of skilled healthtech experts, OSP helps healthcare organizations improve performance, efficiency, and patient care through advanced technology...
Top Services:
AI Development
Software Development
IT Services
Location
San Diego, California
Number of Employees
100 - 249
Average Hourly Rate
$50/hr
Minimal Budget
$50,000 & Up
OSP Labs Services
AI Development
Software Development
IT Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Google Health
Azure
Cinderella
Voi Health
Lance
Home Health Pro
Data sourced from the agency's DesignRush profile
OSP Labs Reviews & Testimonials
David Frank
Review from Google
5.0★
David Frank's Review Sourced from Google
I am writing this review to express my utmost satisfaction with the exceptional service provided by OSP Labs . I had the opportunity to work with them on the development of a healthcare digital platform, and their level of professionalism and dedication were simply unparalleled.
From the inception of the project, the team demonstrated a comprehensive understanding of our goals and vision. They showed top-tier expertise in healthcare software development, employing innovative strategies to design a platform that was both user-friendly and robust in its functionalities.
One of the most impressive aspects of our collaboration was their commitment to consistent communication and support. The team was always readily available to address any queries or issues that surfaced during the development process. This open line of communication went a long way in ensuring that the project progressed smoothly and efficiently.
Reviews verified by DesignRush and sourced from the agency's profile
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iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...
Top Services:
Accounting
BPO
Business Consulting
Call Centers
HR Outsourcing
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Location
Raleigh , North Carolina
Number of Employees
250 - 499
Average Hourly Rate
$50/hr
Minimal Budget
$50,000 & Up
iRapidO Global Services
Accounting
BPO
Business Consulting
Call Centers
HR Outsourcing
Customer Support
Market Research
Phone Answering Services
IT Services
IT Compliance Solution
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Finance
Insurance
Health Care
Data sourced from the agency's DesignRush profile
iRapidO Global Reviews & Testimonials
Nurse Gigs
Review from Google
5.0★
Nurse Gigs's Review Sourced from Google
iRapidO offers top-quality services with impressive speed and professionalism. Their team handles projects efficiently and ensures consistent, high-value results. Great service experience with strong reliability—definitely recommended for businesses needing fast and dependable solutions.
Driver Gigs
Review from Google
5.0★
Driver Gigs's Review Sourced from Google
iRapidO delivers outstanding quality and services. The team is highly professional, fast, and reliable, providing excellent results every time. Their support, pricing, and overall service experience make iRapidO one of the best choices for businesses. Highly recommended!
Abhishek Pal vlogz
Review from Google
4.0★
Abhishek Pal vlogz's Review Sourced from Google
I had a great experience working with iRapidO Global. The team is professional, responsive, and truly understands business needs. They deliver quality work on time and make collaboration smooth and efficient. I’m impressed with their expertise in global capability centers and how seamlessly they handle operations. Highly recommend them to any company looking for a reliable and experienced partner.
Reviews verified by DesignRush and sourced from the agency's profile
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Transforming Businesses With Innovative Technology
GlowTouch specializes in customer service outsourcing, helping clients improve retention and enhance brand loyalty through first-contact issue resolution. Its agents become experts on the client's business, turning customer care into a revenue center while its technical talent supports in-house information...
Top Services:
BPO
Location
Louisville, Kentucky
Number of Employees
1000 & Up
Average Hourly Rate
$49/hr
Minimal Budget
$50,000 & Up
GlowTouch Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Food Industry
Gaming Industry
Fintech Industry
Data sourced from the agency's DesignRush profile
GlowTouch Reviews & Testimonials
Dominique
Review from Google
1.0★
Dominique's Review Sourced from Google
I’ve worked at this company for over an year after all the hard work and suffering from the mold and dirty carpet that has never been cleaned, COVID going around this company let me go before I hit 9 points which is the cut off point for termination. They let me go at 8 points and said that it was “pattern” when I haven’t called in for a while 30 days. The supervisors discriminate and the company doesn’t even pay for sick time only PTO. the flu and Covid going around the call center with it being SO tiny , they don’t CARE. They don’t care if you have a drs note, they don’t excuse nothing.
Terry Mcneil
Review from Google
1.0★
Terry Mcneil's Review Sourced from Google
Y'all please believe the reviews!! I had an interview with them they rescheduled me three times!!! and didn't interview me at all while I was waiting for someone to come on the lady Ariel has a nasty attitude..I posted a review about my interview experience and then Chris called me pretending to be sorry for how I was treated he was good at talking nothing! Any who he pleaded and was like they need to do better🙄 So I went ahead and allowed him to schedule me another interview..They interviewed me just to tellw no and I already knew it was no! They care about reviews though..Keep posting truth!! This company I believe God protected me from..This company and the people I can tell is trash..
Keith Miller
Review from Google
4.0★
Keith Miller's Review Sourced from Google
Great locale outside Louisville in East end. Biz all around and GlowTouch is the real deal. Talk w Vik. He has the answers
Reviews verified by DesignRush and sourced from the agency's profile
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We Focus On Customer Service So You Can Focus On Your Business.
Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...
Top Services:
Business Consulting
Call Centers
BPO
Phone Answering Services
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Location
Sioux Falls, South Dakota
Number of Employees
1000 & Up
Average Hourly Rate
$25/hr
Minimal Budget
$50,000 & Up
Five Star Solutions Services
Business Consulting
Call Centers
BPO
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
What services do BPO companies in the USA typically provide?
US BPO providers support businesses across front-office, back-office, and operational functions, including:
Customer support and call center services across phone, chat, and email.
Back-office services such as data entry, billing, payroll, and document processing.
Finance and accounting support, including bookkeeping, AP and AR, and reporting.
Human resources outsourcing covering recruitment support, onboarding, and HR administration.
IT and technical support, including help desk and application support.
Sales and lead generation service,s such as appointment setting and CRM management.
Marketing operations support, including campaign execution and analytics.
Industry-specific services for healthcare, legal, and financial operations.
How much does it cost to hire a BPO company in the USA?
Based on DesignRush portfolio data, hiring a BPO company in the USA costs between $90 and $100 per hour, depending on service type, specialization, and delivery model.
Project-based pricing:
Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.
Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.
Large-scale programs: $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.
Enterprise-level BPO: $1 million+ annually for high-volume, regulated, or fully managed operations.
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.
Which industries most commonly use BPO services in the US?