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.
TechSpeed Inc is a Women Owned Technology company. Founded in 2002, it is the first AI-driven Business Process Outsourcing (BPO) provider. Pairing AI-driven technology automation and Human in the Loop support, TechSpeed enables businesses of all sizes to grow with scalable outsourcing solutions...
Top Services:
- Customer Support
- Transcription Services
- Phone Answering Services
- BPO
- Web Design
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- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $6/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
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
Top Offshore BPO company...
Top Services:
- BPO
- Accounting
- Customer Support
- Market Research
- Web Design
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- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
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
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
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
Avant Tech is an Innovation driven company operating in the US, Nigeria and the Philippines, We specialize in the recruitment of international across countries and carry our Business Process Outsourcing Services...
Top Services:
- BPO
- IT Services
- HR Outsourcing
- Managed Services
- Mobile App Development
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- Location
- Peachtree City, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/hr
- Minimal Budget
- Under $1,000
We turn every interaction into a lasting relationship. Blending global reach with local expertise, AI-driven tools, and genuine human empathy, we help businesses transform customer journeys across every channel...
Top Services:
- Customer Support
- Call Centers
- BPO
- Phone Answering Services
- Show more
- Location
- Albany, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 26 Projects Listed
ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...
Top Services:
- BPO
- Accounting
- Location
- Hillsborough Township, New Jersey
- Number of Employees
- 250 - 499
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Web Design
- Show more
- Location
- Austin, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
Since 2015, SSR Techvision has provided top-quality outsourcing services, including Back Office Support, Call Center Operations, Sales & Business Development, Healthcare Support, and E-commerce Solutions, across India and the US...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Business Consulting
- Customer Support
- Show more
- Location
- Tupelo, Mississippi
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently...
Top Services:
- BPO
- Location
- Bergenfield, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $10,000 - $25,000
Offering Contact & Call Center Services. Experience is everything. At NexRep, we know that creating exceptional experiences for our Marketplace Contractors inspires them to create exceptional customer experiences...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Location
- Portland, Maine
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
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
From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Top Services:
- Customer Support
- BPO
- Market Research
- Transcription Services
- Translation Services
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- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
Callzilla is a nearshore call center and BPO for US companies, founded in 2005 in Miramar, Florida. Our Bogotá team delivers bilingual English and Spanish customer support 24/7/365 on voice, chat, email and SMS, with PCI DSS, SOC 2 Type II and HIPAA compliance...
Top Services:
- Phone Answering Services
- Call Centers
- BPO
- Customer Support
- Show more
- Location
- Miramar, Florida
- Number of Employees
- 500 - 999
Insurance Support World is a leading global provider of insurance back-office outsourcing solutions. Insurance Support World delivers industry and functional solutions to insurers worldwide. Our team comprises of skillful professionals who bring in deep business insight and extensive insurance domain...
Top Services:
- BPO
- Location
- Victorville, California
- Number of Employees
- Under 49
- Portfolios Count
- 5 Projects Listed
CPA-led accounting and fractional CFO team of 75. Books, CFO, payroll and AP/AR under one roof for healthcare, real estate, MCA and tech, nationwide...
Top Services:
- BPO
- Location
- Cedarhurst, New York
- Number of Employees
- 50 - 99
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
Day Translations is a U.S.-based language services company providing professional translation, localization, and interpreting services in 500+ languages...
Top Services:
- Translation Services
- Transcription Services
- SEO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
ROI CX Solutions offers Total Contact Management and Business Support Services. We leverage our expertise to deliver a total package of customer care solutions and contact center services! We provide dedicated 24X7-365 outsourcing solutions. ROI CX Solutions is driven by results, whether it is maximizing your...
Top Services:
- Call Centers
- BPO
- Customer Support
- Phone Answering Services
- Show more
- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
Virtual Mojoe is a one-stop solution to hiring the best virtual assistants online, who help you with all those mundane and daunting tasks so that you can achieve more by doing less and what matters most!...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
MediBill RCM is leading medical billing and coding company in the U.S, based in Texas. As an accredited online medical billing and coding company in America, our certified specialists support your practice from patient arrival to payment, focusing on improving your revenue cycle management...
Top Services:
- BPO
- Business Consulting
- Transcription Services
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
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
DoctorPapers offers medical virtual assistants and revenue cycle management services for 50 medical specialties across the USA. Our solutions are fully HIPAA compliant and secure...
Top Services:
- BPO
- Transcription Services
- Location
- Glendale, California
- Number of Employees
- 50 - 99
eClaim Solution is a leading provider of healthcare billing services in the USA, helping medical practices simplify their revenue operations with accuracy and compliance. Our team specializes in end-to-end revenue cycle management services that ensure faster payments, reduced denials, and consistent...
Top Services:
- BPO
- Business Consulting
- ECM Consulting
- Location
- Lewes, Delaware
- Number of Employees
- 100 - 249
- Minimal Budget
- $50,000 & Up
At United Alliances, we bridge the gap between busy insurance agencies and the power of remote talent. We specialize in providing highly-trained virtual assistants (VAs) with a deep understanding of the insurance industry. Our mission is to streamline your operations, enhance customer service, and free up...
Top Services:
- BPO
- Location
- Cleveland, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
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
BPO Companies by City
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BPO Specializations in the US
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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
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