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.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
Elite MedBilling Solutions & Revenue Cycle Management provides end-to-end medical billing services that cover the complete revenue cycle, from charge entry and coding to claims submission and payment posting. Our integrated approach helps reduce denials, improve collections, and keep your reimbursements...
Top Services:
- BPO
- Location
- Brentwood, Tennessee
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
Behavioral Health RCM Services provide high-quality behavioral health billing services in California. At Behavioral Health RCM Services, we dont just manage billing we become a trusted extension of your team, committed to your financial success and operational efficiency...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...
Top Services:
- Digital Strategy
- Creative Services
- Public Relations
- Graphic Design
- Digital Services
- Show more
- Location
- El Paso, Texas
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Awantrix is a Texas-based enterprise technology solutions provider specializing in managed IT services, cybersecurity, connectivity, infrastructure, and unified communications. The company helps organizations improve operational efficiency, strengthen security, and scale their technology environments through...
Top Services:
- BPO
- Call Centers
- Business Consulting
- IT Services
- IT Compliance Solution
- Show more
- Location
- Dallas, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $79/hr
- Minimal Budget
- Under $1,000
ConsultEvo helps service businesses and fast moving teams streamline operations with ClickUp systems, CRM automation, AI implementation, and custom workflows...
Top Services:
- Business Consulting
- HR Outsourcing
- CRM Consulting
- IT Services
- ERP Consulting
- Show more
- Location
- Casper, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $75/hr
- Minimal Budget
- $1,000 - $10,000
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
Contasks is a trusted virtual assistant and back-office outsourcing provider. Originally serving transportation companies, we now support a wide range of industries from eCommerce to healthcare. Our mission is simple: cut costs, streamline operations, and help your business grow with confidence...
Top Services:
- BPO
- Location
- Dublin, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
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
- Show more
- Location
- Raleigh , North Carolina
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $50,000 & Up
ResolveCX is an AI-driven, cloud-native platform for managing customer complaints, escalations, cases, and problem investigations with speed and accuracy. Built on AWS, it streamlines the full lifecycle from intake to resolution through intelligent routing, automated workflows, and real-time collaboration...
Top Services:
- AI Development
- DevOps Consulting
- IT Services
- Cloud Consulting
- Staff Augmentation
- Show more
- Location
- San Francisco, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences...
Top Services:
- BPO
- Call Centers
- Customer Support
- Business Consulting
- Show more
- Location
- Nacogdoches, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
Experts in full-cycle US medical claims management from charge capture, eligibility checks, and prior approvals to denial handling, payment posting, and AR recovery. Compliant with HIPAA, ICD-10, CPT, HCPCS. Support all payers: commercial, Medicare, Medicaid, TriCare, VA, Workers Comp...
Top Services:
- BPO
- Business Consulting
- CRO
- ERP Consulting
- ECM Consulting
- Show more
- Location
- Albany, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
Datamatics Digital Ltd an entity of Datamatics Global Services Ltd is a well-recognized leading data mining and application development company that delivers avant-garde software services with a specialized focus on web & mobile product engineering, application development & maintenance services...
Top Services:
- IT Services
- Big Data Analytics
- Market Research
- CRM Consulting
- Managed Services
- Show more
- Location
- Edison, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $30/hr
BizInfor is a notable B2B data-driven marketing solution provider. Our state-of-the-art technology helps businesses of all sizes identify the right prospects...
Top Services:
- BPO
- Email Marketing
- Location
- Edison, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Magellan Solutions USA delivers expert contact center and digital marketing services tailored to your business needs. From inbound and outbound support to live chat, telemarketing, and SEO, we help businesses enhance customer engagement and drive growth. As a small, minority-owned business with diverse...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Customer Support
- Show more
- Location
- Melbourne FL, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $29/hr
- Minimal Budget
- Under $1,000
ContactWorks is high value / high touch contact center outsourcing business that has a 20+ year history of providing great customer support. We deliver value in a wide range of services including customer service, technical support and client acquisition...
Top Services:
- Customer Support
- Managed Services
- IT Services
- BPO
- Call Centers
- Show more
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $1,000 - $10,000
3i Data Scraping is a Best Web data scraping services and Data Extraction Company USA. Web Crawling, Data Mining Services to global clients. Hire our scraper experts the USA...
Top Services:
- BPO
- Big Data Analytics
- Digital Services
- IT Services
- Show more
- Location
- Houston, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
Best Data Conversion Services in USA offering secure document, PDF, image, and database conversion with fast turnaround and high accuracy...
Top Services:
- Graphic Design
- Logo Design
- Design Services
- Digital Strategy
- Product Design
- Show more
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
Trupp Global: Your Trusted Partner for Back-Office Support and Customer Experience Services...
Top Services:
- BPO
- Customer Support
- Call Centers
- IT Services
- Show more
- Location
- Orlando, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave...
Top Services:
- Accounting
- BPO
- Location
- Alexandria, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Dastify Solutions is an Austin, Texas-based revenue cycle management (RCM) firm with a presence in California, specializing in AI-driven medical billing, credentialing, and accounts receivable (AR) recovery...
Top Services:
- BPO
- Managed Services
- Customer Support
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
We provide fully turnkey solutions handling legal setup, HR, payroll, accounting, compliance, facilities, and day-to-day supervision so our clients can focus exclusively on sales, growth, and performance. Write everything around this idea , this is the core service we offer...
Top Services:
- BPO
- Call Centers
- HR Outsourcing
- Phone Answering Services
- Customer Support
- Show more
- Location
- Chula Vista, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
We provide guidance and support that acts as a seamless extension of your business. Our trained agents treat your clients with the warmth and respect they deserve, utilizing AI guidance to ensure fast, first-call resolutions without unnecessary escalations...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Palos Heights, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $14/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
At Go Hire Virtual, we help busy entrepreneurs and businesses scale without burnout. Our team of highly skilled virtual assistants handle the day-to-day, so you can focus on growth...
Top Services:
- BPO
- Phone Answering Services
- Location
- South Salt Lake, Utah
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Founded in 2020, Oversea Staffing Solutions LLC has emerged as a leading call center staffing agency in the Caribbean, bridging the gap between world-class bilingual talent and forward-thinking businesses...
Top Services:
- BPO
- Call Centers
- Market Research
- Phone Answering Services
- HR Outsourcing
- Show more
- Location
- Lithia Springs, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $11/hr
- Minimal Budget
- $1,000 - $10,000
Hugo
VerifiedVerified by the DesignRush team for authenticity and credibility.World-Class Outsourced Teams Operating 24/7 Globally, in 60+ Languages
Hugo provides secure, end-to-end customer support, back office, AI operations, and trust & safety solutions for US-based and global clients. We are PCI DSS, ISO 27001, HITRUST, SOC 2 certified and HIPAA & GDPR compliant, to serve regulated industries including fintech, healthcare, and SaaS platforms...
Top Services:
- Customer Support
- Call Centers
- BPO
- Phone Answering Services
- Transcription Services
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHugo Services
Data sourced from the agency's DesignRush profileGoogle Meta Outschool Topicals Attentive Faire Sakara Aurora
Hugo Reviews & Testimonials
B2B Review from Greg Digneo
Best decision we made last year was partnering with this CX team for our customer support, billing, and sales assistance. We were drowning in client emails and chasing invoices late at night instead of focusing on SEO strategy. Results have been incredible: client response times dropped from hours to under an hour, payment collection improved 60%, landing page conversions up 28%, and client retention increased 35%. They integrated seamlessly with our systems and scaled with us as we grew. Now we have more time to focus on delivering SEO results instead of being stuck in support tickets all day. If you're an agency juggling client support with campaign management, this team is a game-changer.
BPO Review from Nimmit Shah
Collaborating with Hugo elevated our property management firm's performance. Their support solutions slashed response times by 40% and boosted tenant satisfaction by 30%. Hugo's seamless integration proved instrumental in propelling our business forward, setting new benchmarks in operational excellence.
Customer Support Review from Jambu Subramanian
Their team quickly integrated into our workflow, demonstrating a deep understanding of our business needs. We were impressed by their professionalism and the ease with which they handled complex customer inquiries. Hugo's technical support team showed exceptional problem-solving skills, significantly reducing resolution times for order issues.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsTechnodream provides high-quality, affordable web development, web design, online marketing, and call center services for businesses in the US, UK, and Australia...
Top Services:
- BPO
- Call Centers
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
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
Express Virtual Assistant (EVA) is a globally managed virtual workforce solutions provider that helps businesses streamline operations through structured, performance-driven support systems. Founded in 2004 as a subsidiary of Flatworld Solutions, EVA goes beyond traditional outsourcing by offering a...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
Include Work helps founders and teams save time and scale faster with expert Virtual Assistant and back-office support. With 100+ skilled VAs, we deliver reliable, high-quality solutions for admin, marketing, design, and research...
Top Services:
- IT Services
- CRM Consulting
- Digital Services
- UI/UX Design
- Digital Marketing
- Show more
- Location
- Albuquerque, New Mexico
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $7/hr
- Minimal Budget
- Under $1,000
Top Offshore BPO company...
Top Services:
- BPO
- Accounting
- Customer Support
- Market Research
- Web Design
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
- Accounting
- HR Outsourcing
- BPO
- Location
- Syracuse, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $1/hr
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
Popular Services
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
4.8
4.8Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
BPO Services FAQs
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?
BPO companies most commonly serve:Â
- Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development.Â
- Healthcare and medical billing, including claims processing, coding, and patient support.Â
- Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes.Â
- Legal services, with 68% of organizations are outsourcing legal and compliance tasks.Â
- Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing.Â
- Human resources, with 57% outsourcing HR functions such as payroll and benefits administration.Â
- Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making.Â
- Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%.Â
What outsourcing models do US-based companies typically offer?
They typically offer these outsourcing models:Â
- Onshore outsourcing with US-based teams.Â
- Nearshore outsourcing using teams in nearby regions.Â
- Offshore outsourcing for cost-sensitive, high-volume work.Â
- Dedicated team models for long-term operations.Â
- Project-based outsourcing for fixed scope work.Â
- Hybrid models combining multiple delivery locations and pricing structures.Â
How do businesses measure ROI when outsourcing to a BPO partner?
Businesses measure performance and ROI by tracking:Â
- Service level agreements such as response time, resolution time, and accuracy.Â
- Cost savings compared to in-house staffing and operations.Â
- Productivity metrics like volume handled per agent or per hour.Â
- Quality scores including error rates, compliance, and customer satisfaction.Â
- Revenue impact for sales, retention, or collections focused programs.Â
- Regular reporting, benchmarking, and quarterly performance reviews.Â
Latest Trends Related to BPO
-preview-webp.webp)
