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
8 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.
Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...
Top Services:
BPO
Business Consulting
Branding
Logo Design
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Location
Terra Alta, West Virginia
Number of Employees
Under 49
Average Hourly Rate
$38/hr
Minimal Budget
Under $1,000
Optimized EA Services
BPO
Business Consulting
Branding
Logo Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock...
Top Services:
BPO
Location
Lexington, Massachusetts
Number of Employees
100 - 249
Average Hourly Rate
$30/hr
Minimal Budget
Under $1,000
Nagog Innovation Technology Inc Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Powering Business Intelligence with AI-Driven Data Support
Data-Entry-India.com is a global Data & AI operations partner. Serving 3,850+ clients across 50+ countries, we specialize in enterprise data operations, AI training data services, digital commerce data support, data research and intelligence services, and document and content-related support...
Top Services:
Big Data Analytics
BPO
AI Development
Managed Services
Business Consulting
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Location
Laguna Beach, California
Number of Employees
500 - 999
Average Hourly Rate
$25/hr
Minimal Budget
$10,000 - $25,000
Data-Entry-India.com Services
Big Data Analytics
BPO
AI Development
Managed Services
Business Consulting
Market Research
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Pepsico
Expedia
Nielzen
Corzen
Data sourced from the agency's DesignRush profile
Data-Entry-India.com Reviews & Testimonials
Alex M. Business Analyst at eCommerce Company
5.0★
Data Entry Review from Alex M.
Our team was overwhelmed with the large volume of raw data we had to process daily. Data-Entry-India.com stepped in and alleviated this burden by efficiently and quickly processing this data into a structured format. By taking care of data cleaning and validation, their team allowed us to focus on core tasks involving data analysis and decision-making, significantly boosting our productivity.
Carlos R. CEO at Travel Startup
5.0★
Data Entry Review from Carlos R.
We needed a reliable service provider who could scrape travel deals data from various websites for our company. We are glad that someone recommended Data-Entry-India.com to us. Their team understood our requirements and provided us with structured and accurate data from specified web sources. Their expertise in handling complex scraping projects has made a significant impact on our operations.
James P. Project Manager at Tech Company
5.0★
Data Entry Review from James P.
We needed thousands of street photos labeled for our self-driving car project. The team of Data-Entry-India.com provided us with high-quality labeled datasets by annotating over 5000 images on CVAT in half the time we expected. Their work helped us improve the accuracy of our object detection algorithm significantly.
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
Cavinolr Recruiters specializes in connecting top-tier talent with organizations in CS, Retention , sales, life sciences, healthcare, and biotechnology sectors. The firm combines industry expertise with personalized strategies to deliver exceptional recruitment solutions tailored to clients' unique needs...
Top Services:
BPO
Phone Answering Services
Translation Services
Customer Support
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Location
Plantation, Florida
Number of Employees
250 - 499
Average Hourly Rate
$12/hr
Minimal Budget
$1,000 - $10,000
Cavinol Panama Services
BPO
Phone Answering Services
Translation Services
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...
Top Services:
Business Consulting
BPO
Location
Fort Worth, Texas
Number of Employees
100 - 249
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Scionis RCM Services
Business Consulting
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
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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
Top Customer Service Services
Customer Support
Call Centers
BPO
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Trainual Inc
15Five
ElectrIQ Marketing
YCharts
PERQ
GMass
Heinz Marketing Inc
Arch-Con Corporation
Data sourced from the agency's DesignRush profile
Top Customer Service Reviews & Testimonials
Manoj Thenua Chief Executive Officer at Medico Hub
5.0★
Customer Support Review from Manoj Thenua
I recently engaged a customer support provider to manage client service and support tasks for my healthcare-oriented platform. From the outset, their team was extremely professional, responsive and attentive. Their onboarding process was smooth, prompt, and well-organized. Throughout the project they handled all support tickets including account queries, billing questions, technical issues and general user guidance with empathy and clarity.What impressed me most was their commitment to quality: they consistently responded quickly to inquiries (often within minutes), maintained a helpful and courteous tone, and followed up until the users problems were fully resolved. Feedback from my users has been overwhelmingly positive: many praised how easy it was to get help and how satisfied they were with the assistance.Thanks to their efficient support, user satisfaction and retention improved noticeably compared to the period before they handled support. I also experienced fewer escalations and received fewer complaints overall. Their professionalism and consistency gave me peace of mind and freed me to focus on growing the platform rather than handling day-to-day support issues.Overall, working with them has been a very positive and productive experience the quality of support exceeded my expectations.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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?