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
16 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.
IdeasUnlimited is a BPO with fifteen (15) years of experience in providing various BPO services...
Top Services:
Call Centers
Phone Answering Services
IT Services
BPO
Customer Support
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Location
Sugar Land, Texas
Number of Employees
100 - 249
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
2 Projects Listed
IdeasUnlimited Services
Call Centers
Phone Answering Services
IT Services
BPO
Customer Support
Transcription Services
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
BabeBox
PatPat
Sapphire
Messenio
Stevens Realty
Justin TV (now known as Twitch TV)
Data sourced from the agency's DesignRush profile
IdeasUnlimited Reviews & Testimonials
Kimberly Weber President and Founder at Iowa Home Care
5.0★
BPO Review from Kimberly Weber
We brought on IdeasUnlimited to help with our back office work so our nurses and staff could stay focused on clients. They handle scheduling, reports, emails, and client inquiries, and they picked up new tasks fast with very little training. The time we save is huge, and it makes our daily operations smoother. What I like most is they really try to fit into how we work, so it feels like they are part of our own team. The onboarding took a little time, but once we got set, everything has been running well.
Miriam Woodward Founder President and CEO at De Dios Consulting
5.0★
BPO Review from Miriam Woodward
IdeasUnlimited has been a dependable partner for us at De Dios Consulting. They handle our scheduling, emails, research, and reports, which freed up time for us to focus on clients. What I value most is how quickly they adapt and how much they feel like part of our team. The only challenge was getting them up to speed on a few tools, but once they learned, everything has been smooth.
Jeffrey Bill Founder & CEO at Sunrise Treatment Center
5.0★
Medical Review from Jeffrey Bill
Working with IdeasUnlimited has been a real help for us at Sunrise Treatment Center. We brought them in to handle our medical billing so our staff could focus more on patients. They learned our system fast and cut down on errors which meant we got paid quicker and had better cash flow. Communication has always been easy and they adjust when we need something changed. What stood out most is how detailed and reliable they are. Nothing is ever perfect but they came pretty close.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
CareCloud, Inc. is a prominent provider of proprietary cloud-based healthcare solutions for expanding healthcare organizations. CareCloud (Nasdaq: CCLD, CCLDP, CCLDO), formerly known as MTBC, provides the most comprehensive technology-enabled solutions to healthcare organizations of all sizes and across the...
Top Services:
Wearables
AI Development
Software Development
ECM Consulting
BPO
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Location
Clyde, New Jersey
Number of Employees
1000 & Up
Average Hourly Rate
$20/hr
Portfolios Count
8 Projects Listed
CareCloud Services
Wearables
AI Development
Software Development
ECM Consulting
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Fox Rehab
Alpha Dermatology
Alvior Medical
Corpus Christi Urology
Franco & Co
Lifearts Integrated Health Center
Poplar Bluff Urology
Premier Dermatology
Sanova Dermatology
The Foot Group
Data sourced from the agency's DesignRush profile
CareCloud Reviews & Testimonials
Denise Martinez Medical Assistant at Corpus Christi Urology Group
5.0★
BPO Review from Denise Martinez
We heard very impactful things about CareCloud from another large urology practice, we needed a solution that interfaced well and would support the growth of the practice.
Tanner Hynes VP of Operations at US Physiatry
5.0★
BPO Review from Tanner Hynes
CareCloud has been there every step of the way.
Dr. Daniel Shrager Board Certified Dermatologist at Alpha Dermatology
5.0★
BPO Review from Dr. Daniel Shrager
CareCloud has helped make our growth easier, If I did have the opportunity to expand with more providers, CareCloud would be the place to go to support that.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Answering Service Care Provides Trained Customer Service Professionals.
Answering Service Care (ASC) is a 24/7 live answering service for 3500+ businesses nationwide, serving all industries, including law firms, doctor's offices, insurance agencies, financial advising firms, and many more. ASC has over 45+ years of experience and almost 200 employees in over 3 offices located in...
Top Services:
Phone Answering Services
Call Centers
Customer Support
BPO
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Location
Margate, Florida
Number of Employees
Under 49
Portfolios Count
3 Projects Listed
Answering Service Care, LLC. Services
Phone Answering Services
Call Centers
Customer Support
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Flowers & Foley
UOAA
HG Consulting
Data sourced from the agency's DesignRush profile
Answering Service Care, LLC. Reviews & Testimonials
Vai Lealiiee Owner at Undisclosed
5.0★
Phone Answering Services Review from Vai Lealiiee
I had an issue with the protocol for our message retrieval. Spoke with Maria, the account manager in Client Relations, and she handled my concerns in a professional manner, extremely courteous, empathetic, and very kind. She fixed our account and I am so happy to be able to work with the Answering Service Care company again! I used to be an agent with them 10 years ago and still use skills taught from this company in my every day life. They are the best answering service company nationwide! I highly recommend to anyone who needs this service for their businesses. You will not be disappointed!
Lee Ann Morris Owner at Undisclosed
5.0★
Phone Answering Services Review from Lee Ann Morris
It is nice to be able to leave the office everyday at 5pm and not have to worry about your customer's being taken care of. The Answering Service staff are professional and they truly are the best ones we have ever had!
Carolina Silva Review from Google
5.0★
Carolina Silva's Review Sourced from Google
Answering Service Care is incredible! They answer every call with professionalism, warmth, and compassion which is exactly what our nonprofit needs to support people in crisis. Reliable, friendly, and a true extension of our team. Highly recommend!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
Sunknowledge Services Inc. is a dynamic medical billing services & collections company extending superior, proprietary technologies, workflow, and business processes that exceed clients' expectations and enhance their revenue cycle. Focused on providing operational enhancements while significantly reducing...
Top Services:
BPO
Location
New York City, New York
Number of Employees
Under 49
Sunknowledge 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..,
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Your Perfect Partner For Improved Revenue Cycle Management Services
We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...
Top Services:
BPO
Location
Lansdale, Pennsylvania
Number of Employees
250 - 499
Average Hourly Rate
$8/hr
Minimal Budget
Under $1,000
Purview Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dedicated to provide billing solutions to medical providers.
Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...
Top Services:
Call Centers
Location
Tucson, Arizona
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Virtual Connect Services
Call Centers
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
Enfinity Medical Billing optimizes revenue with expert billing, credentialing & consulting.
Enfinity Medical Billing is a healthcare revenue cycle management company that helps organizations maximize revenue and streamline operations through medical billing, transcription, credentialing, auditing, and consultation services...
Top Services:
BPO
Location
East Brunswick, New Jersey
Number of Employees
50 - 99
Average Hourly Rate
$20/hr
Minimal Budget
Under $1,000
Portfolios Count
1 Project Listed
Enfinity Medical Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Greenwood Family Dentary
City Urgent Care
Malibu Medical Group
Alternative Care Physical Therapy
Rangel Dental
Madison Dental
Data sourced from the agency's DesignRush profile
Enfinity Medical Billing Reviews & Testimonials
Masaud Khan Review from Google
5.0★
Masaud Khan's Review Sourced from Google
As a healthcare provider, I have greatly benefited from Enfinity Medical Billing, both personally and for my clinic. They have made a significant positive impact on my practice, streamlining my work and making my professional life much easier.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
DGC BPO Service is a premier US-based outsourcing company offering expert customer service, call center solutions, virtual assistance, and lead generation. We help businesses optimize operations, improve customer experiences, and drive growth with tailored, efficient solutions...
Top Services:
BPO
Call Centers
Customer Support
Phone Answering Services
Digital Marketing
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Location
New York City, New York
Number of Employees
Under 49
Average Hourly Rate
$25/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
1 Project Listed
DGC BPO Service Services
BPO
Call Centers
Customer Support
Phone Answering Services
Digital Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials...
Top Services:
BPO
Location
Austin, Texas
Number of Employees
50 - 99
Average Hourly Rate
$30/hr
Minimal Budget
Under $1,000
MedBrilliance Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
MZ Medical Billing provides end-to-end medical billing services for clinics, hospitals, and multi-specialty practices across the United States. The team manages eligibility checks, coding review, claim submission, denial follow-ups, A/R recovery, and patient billing, helping providers maintain predictable...
Top Services:
BPO
Digital Marketing
SEO
Location
St. Petersburg, Florida
Number of Employees
100 - 249
Portfolios Count
1 Project Listed
MZ Medical Billing Services
BPO
Digital Marketing
SEO
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:Â
Customer support and call center services across phone, chat, and email.Â
Back-office services such as data entry, billing, payroll, and document processing.Â
Finance and accounting support, including bookkeeping, AP and AR, and reporting.Â
Human resources outsourcing covering recruitment support, onboarding, and HR administration.Â
IT and technical support, including help desk and application support.Â
Sales and lead generation service,s such as appointment setting and CRM management.Â
Marketing operations support, including campaign execution and analytics.Â
Industry-specific services for healthcare, legal, and financial operations.Â
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.Â
Project-based pricing:Â
Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.Â
Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.Â
Large-scale programs:Â $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.Â
Enterprise-level BPO:Â $1 million+ annually for high-volume, regulated, or fully managed operations.Â
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.Â
Which industries most commonly use BPO services in the US?