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

23 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.

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  • CareCloud

    Cloud-Based Healthcare Solutions

    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
    • Show more
    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
      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
      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
      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
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    4.6 4.6 (3)
    4.3 4.3 (21)

  • Keach Assistants

    Transform Your Workflow with Highly Skilled Virtual Assistants.

    Keach Assistants is a U.S.-based virtual assistant company specializing in providing expert bookkeeping, accounting, eCommerce, and data entry services. Our team of highly skilled virtual assistants is equipped to handle the complexities of modern business tasks, helping you streamline operations and improve...

    Top Services:

    • eCommerce
    • Accounting
    • BPO
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    Keach Assistants Services

    • eCommerce
    • Accounting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Soul2Summit
    • Zenith Stallion Station
    • Team Trinity Fitness
    • Promethean Risk Solutions
    Data sourced from the agency's DesignRush profile

    Keach Assistants Reviews & Testimonials

    • Cary Caballero
      Cary Caballero Director of Marketing at Cosmetic Group USA
      5.0 ★

      Social Media Marketing Review from Cary Caballero

      I can confidently say that Keach Assistants have greatly boosted our business. They also coordinate our appointments, call our clients, and in some cases promote our business. They provide strong support and clear all fields that allow us to concentrate on the sales and expansion of our company. The service has been splendid!

    • Kristine Holly
      Kristine Holly Chief Technical Officer (CTO) at Confidential
      5.0 ★

      Virtual Assistant Review from Kristine Holly

      Billing of medical records was a very large issue until we sought the services of Keach Assistants. Their virtual assistants have helped in our billing process in that we process the payments faster than before and with little or no errors. Im glad we are able to get this very important part of our business taken care of in such an organized manner.

    • Kaylee Slone
      Kaylee Slone Digital Marketing Manager at Authors Breeze
      5.0 ★

      Business Consulting Review from Kaylee Slone

      Being a completely scatty and non-tech driven "creative," I could not survive without Keach Assistants. They are calm people who can bring me down from the ceiling when I am panicked about something and who can deal with the more complicated details of my business proficiently and charmingly. It is always nice also to learn from them because they are knowledgeable in a wide range of business skills. Without a doubt, I would highly endorse their services to anybody seeking the services of a highly skilled VAs, but still offering fairly affordable prices.

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    4.6 4.6 (3)

  • SwiftCare Billing LLC

    Precision Billing, Maximum Revenue, Minimal Risk.

    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
    • Show more
    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
      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.

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    4.3 4.3 (1)

  • MiXBS, LLC

    You Create, We Support.

    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

    MiXBS, LLC Services

    • Call Centers
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • BPO
    • Market Research
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • CDEK
    • Buch
    • Ramayoga
    • Imark Tech
    • SovPlym
    • KNOVR
    Data sourced from the agency's DesignRush profile

    MiXBS, LLC Reviews & Testimonials

    • Kevin Swindlehurst
      Kevin Swindlehurst Airline Operations Supervisor at Flightworx Aviation
      5.0 ★

      Customer Support Review from Kevin Swindlehurst

      If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.

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    4.3 4.3 (1)

  • Fred Lundin CPA LLC

    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
    • Show more
    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
    • Retail Industry
    • Financial Industry
    • eCommerce Industry
    • Legal Industry
    Data sourced from the agency's DesignRush profile
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  • Pro MBS LLC

    Get Back to What Matters Weve Got the Solution

    Get Professional Medical Billing and Coding Services that eliminate headaches and maximize your Revenue. Let us handle the complexity while you concentrate on delivering exceptional care...

    Top Services:

    • BPO
    Location
    Webster, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000

    Pro MBS LLC Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Whole Health Professional PLLC
    • Colorado Chiropractic Center (Colorado)
    • South Main Clinic
    • Bird Dog Pharma
    Data sourced from the agency's DesignRush profile
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  • MZ Medical Billing

    Expert Medical Billing Services

    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
    • Riverside Family Health Clinic
    • Summit Orthopedic & Sports Medicine
    • ClearPath Therapy & Rehabilitation Center
    Data sourced from the agency's DesignRush profile
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  • MedBrilliance

    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
    • Health Care Industry
    • Dental Industry
    • Wellness & Fitness Industry
    Data sourced from the agency's DesignRush profile
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  • Dastify Solutions

    AI-Powered Medical Billing Company

    Dastify Solutions is an AI-powered medical billing/RCM company (Austin, TX). 500+ certified experts cut errors by 99%. Full RCM, AR, & credentialing for 75+ specialties on a pay-for-paid model. Integrates with 600+ EHRs...

    Top Services:

    • BPO
    • Email Marketing
    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed

    Dastify Solutions Services

    • BPO
    • Email Marketing
    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Managed Services
    • IT Services
    • Business Consulting
    • Call Centers
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Beauty Industry
    • Health Care Industry
    • Wellness & Fitness Industry
    Data sourced from the agency's DesignRush profile

    Dastify Solutions Reviews & Testimonials

    • Yami Sozi MD
      Yami Sozi MD Review from Google
      5.0 ★

      Yami Sozi MD's Review Sourced from Google

      We’ve been partnering with Dastify Solutions for our mental health practice, and they have been absolutely fantastic to work with. The onboarding process was seamless, thanks to Andy Adams on the sales side he was incredibly nice, patient, and made sure all our initial questions were answered. On a day-to-day basis, Ricky, our operations manager, has been a total lifesaver. He handles all of our billing and complex mental health prior authorizations flawlessly. It’s a huge relief knowing our claims are in such capable hands. Highly recommend them!

    • Jesse Vaughan
      Jesse Vaughan Review from Google
      5.0 ★

      Jesse Vaughan's Review Sourced from Google

      I’ve worked with four medical billing companies over the past decade. Dastify Solutions is in a different league. Their 97.4% first-pass acceptance rate isn’t marketing — we verified it against our own EOB data. Their credentialing and provider enrollment services managed five new providers last year with zero billing gaps. On the accounts receivable management side, our days in AR dropped from 52 to 31 and collections improved over 30%. For any growing practice evaluating medical billing services, Dastify delivers the precision and compliance most RCM companies only promise.

    • Robert Coleman
      Robert Coleman Review from Google
      5.0 ★

      Robert Coleman's Review Sourced from Google

      Running a behavioral health practice with 12 providers across psychiatry and substance abuse treatment means complicated billing. We brought in Dastify Solutions for end-to-end revenue cycle management and the results were immediate. Their credentialing services got three new providers paneled in under 45 days. They restructured our charge capture, implemented real-time eligibility verification, and our net collection rate jumped from 89% to 96%. Their AR management team lets nothing fall through the cracks. Dastify doesn’t just process claims — they protect your revenue.

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    4.8 4.8 (12)

  • Enfinity Medical Billing

    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
      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
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    5.0 5.0 (1)

  • MediBill RCM

    Enhancing Healthcare Rcm With Superior Accuracy and Efficiency

    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

    MediBill RCM Services

    • BPO
    • Business Consulting
    • Transcription Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Insurance Industry
    • Wellness & Fitness Industry
    Data sourced from the agency's DesignRush profile

    MediBill RCM Reviews & Testimonials

    • Jaqueline Ortiz
      Jaqueline Ortiz Review from Google
      5.0 ★

      Jaqueline Ortiz's Review Sourced from Google

      They are amazing I have been working with them for almost 3 years now and they are very good at communicating their needs and questions. Also very good at keeping all work in track and amazingly professional.

    • Sulaimon Bakre
      Sulaimon Bakre Review from Google
      5.0 ★

      Sulaimon Bakre's Review Sourced from Google

      I have been utilizing their virtual assistant service and the assistant has been very dependable, punctual and very respectful towards my patients. Patients also give positive feedback as well. I will highly recommend.

    • Gianni Leano
      Gianni Leano Review from Google
      5.0 ★

      Gianni Leano's Review Sourced from Google

      I’ve had an outstanding experience with this medical billing, coding, and credentialing team. They are incredibly knowledgeable, detail-oriented, and efficient. Their communication is clear and timely, and they’re always available to answer questions or provide updates. It's a huge relief to have a team we can fully trust with such an important part of our practice. Highly recommend!

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    5.0 5.0 (6)

  • Cube Therapy Billing, LLC

    We Provide ABA therapy billing and insurance services.

    At Cube Therapy Billing LLC, we bring over 16 years of proficiency to credentialing services, serving 650+ providers with a commitment to excellence. Our professional team ensures seamless integration with various insurances nationwide, emphasizing timely approvals and billing efficiency...

    Top Services:

    • BPO
    Location
    Dover, Delaware
    Number of Employees
    50 - 99

    Cube Therapy Billing, LLC Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Autism Centre Illinois
    • Behavioral Health Clinic
    • ABA Therapy Center
    Data sourced from the agency's DesignRush profile
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  • ASK 2 PRO

    "Your Trusted Service Partner, Across the Nation."

    ASK 2 PRO delivers expert virtual assistant services nationwide, helping businesses streamline tasks, boost efficiency, and expand their network. From admin to communication, we handle the details so you can focus on growth and success...

    Top Services:

    • Web Development
    • Digital Marketing
    • AI Development
    • HR Outsourcing
    • Customer Support
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $7/hr

    ASK 2 PRO Services

    • Web Development
    • Digital Marketing
    • AI Development
    • HR Outsourcing
    • Customer Support
    • Phone Answering Services
    • IT Services
    • Market Research
    • Branding
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Blue Wave Marketing
    • Fitness Machine Technicians
    • Urban key
    • Prime Edge Finance
    • Vital Care Solution
    Data sourced from the agency's DesignRush profile
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  • Revele

    Demand More From Your Revenue Cycle.

    Revele is a leading provider of healthcare revenue cycle and electronic health record services...

    Top Services:

    • Business Consulting
    • Call Centers
    • BPO
    Location
    Indianapolis, Indiana
    Number of Employees
    100 - 249
    Average Hourly Rate
    $35/hr

    Revele Services

    • Business Consulting
    • Call Centers
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Advanced Astro
    • The Clinic of Gadsden
    • Regan Medical Center
    Data sourced from the agency's DesignRush profile
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  • RPM

    Scale Your Business With Quality Outsourced Teams In ‍Back Office Support.

    RPM stands out as a comprehensive solution provider, offering bilingual expertise in both English and Spanish, with the flexibility to provide full-time or part-time dedicated resources, fully managed to meet diverse operational needs. Our capabilities span a wide spectrum, encompassing intricate back-office...

    Top Services:

    • BPO
    • Customer Support
    • Call Centers
    • Staff Augmentation
    • Show more
    Location
    San Jose, California
    Number of Employees
    100 - 249
    Minimal Budget
    Under $1,000

    RPM Services

    • BPO
    • Customer Support
    • Call Centers
    • Staff Augmentation
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • CareerVault
    • Way
    • The Bright App
    Data sourced from the agency's DesignRush profile
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  • Hire Live Support Inc

    We talk, We Listen, We Provide Solutions

    Hire Live Support is a full-scale BPO service provider and a digital marketing company with 10+ years clientele and preparedness. We specialize in providing the leading live support services and new-age digital marketing gigs to SMEs, Enterprises, and Startups to delegate, scale, and manage business...

    Top Services:

    • Call Centers
    • BPO
    • Web Design
    • Web Development
    • SEO
    • Show more
    Location
    Cerritos, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    16 Projects Listed

    Hire Live Support Inc Services

    • Call Centers
    • BPO
    • Web Design
    • Web Development
    • SEO
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Goggles4u
    • Savers
    • Hyperanimation
    • Eyeglasses.pk
    Data sourced from the agency's DesignRush profile

    Hire Live Support Inc Reviews & Testimonials

    • Alex Stone
      Alex Stone Review from Google
      5.0 ★

      Alex Stone's Review Sourced from Google

      Partnering with Hire Live Support has been one of the best decisions for Our Company. Over the past two years, they have consistently delivered exceptional service and have handled our operations seamlessly, allowing us to focus on growth without any operational worries. We currently have a team of 13 experienced agents working with us through Hire Live Support across multiple departments, including Customer Support Representatives, Go-High Level Tech Experts, and exceptional Customer Experience Agents. The level of professionalism, dedication, and reliability they bring is truly outstanding. They have ensured smooth day-to-day functioning, provided well-trained resources, and managed our processes with complete accountability. Finding an outsourcing agency as reliable as Hire Live Support is rare. They have been the most dependable and trustworthy partner I’ve worked with, and I continue to be impressed by their commitment to excellence. I highly recommend Hire Live Support to anyone looking for a reliable outsourcing partner.

    • Brit Wilbanks
      Brit Wilbanks Review from Google
      1.0 ★

      Brit Wilbanks's Review Sourced from Google

      Please don't apply to companies open jobs posing as a candidate. The job market is hard enough for people out here, without businesses getting flooded with other businesses slide decks trying to make sales connections. Sincerely, The recruiter who had to look at your stupid slide deck.

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    3.0 3.0 (2)

  • Touch To

    We Are Your Outsourced Innovation Team

    Touch To is an Austin-based development and design consultancy, providing innovative solutions to technically challenging initiatives for enterprises, SMBs, startups, and nonprofits. With expertise in UX/UI design, full-stack web and mobile development, interactive installations, hardware/software...

    Top Services:

    • Software Development
    • BPO
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $10,000 - $25,000

    Touch To Services

    • Software Development
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Focus Forwards
    • MEG Wall Panels
    • Edel Golf
    Data sourced from the agency's DesignRush profile
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  • 24/7 Medical Billing Services

    End-To-End Medical Billing Services

    We are a medical billing firm that provides '24/7 Medical Billing Services' and provides end-to-end medical billing solutions to physicians, hospitals, medical institutes, and group practices. With our speedy and low-cost services, we help you earn more money. Our tailored Income Cycle Management (RCM)...

    Top Services:

    • BPO
    Location
    Marietta, Georgia
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Portfolios Count
    1 Project Listed

    24/7 Medical Billing Services Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Dr. Mythili Ramachandran
    • LakeSide Medical Group
    • Olympus Medical Billing Corporation
    Data sourced from the agency's DesignRush profile

    24/7 Medical Billing Services Reviews & Testimonials

    • alex alex
      alex alex Review from Google
      5.0 ★

      alex alex's Review Sourced from Google

      Excellent service provider for every Practice where 247 Medical Billing will help you to increase your Cash-flow working with your old or stuck denials, Definitely a very good platform for maintaining your medical billing where you don't need to worry about any paperwork you just need to focus on your practice rest of the things manage by 247 medical billing which will help you to enhance your practice growth and work on your Revenue Generation. 247 Medical Billing is best Helping Hand for each and every practice to grow rapidly .

    • Ken Staten
      Ken Staten Review from Google
      5.0 ★

      Ken Staten's Review Sourced from Google

      My clients are very satisfied with this company. They do the full spectrum of billing. Their follow-up is impeccable. Close and constant communication with clients ensures optimum cash flow and client service.

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    5.0 5.0 (4)

  • Equivity, Inc.

    Law Firm Support Services

    Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...

    Top Services:

    • Call Centers
    • Accounting
    • BPO
    • PPC
    • Digital Marketing
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49

    Equivity, Inc. Services

    • Call Centers
    • Accounting
    • BPO
    • PPC
    • Digital Marketing
    • Email Marketing
    • Graphic Design
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Legal Industry
    • Real Estate Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile

    Equivity, Inc. Reviews & Testimonials

    • Melina Montes
      Melina Montes Review from Google
      5.0 ★

      Melina Montes's Review Sourced from Google

      Equivity has been a great addition to our business. Their proactive approach, commitment, and attention to detail have played a great role in the success of our operations. Equivity truly went the extra mile to understand our operation and assemble an exceptional support team! Their representatives demonstrate a high level of professionalism and consistently provide excellent customer service. Equivity is the perfect choice if you're seeking top-tier service tailored to meet your business needs.

    • Excellence Team
      Excellence Team Review from Google
      5.0 ★

      Excellence Team's Review Sourced from Google

      Equivity is a game-changer. Their team is highly knowledgeable and skilled in customizing their services to match our specific needs, which is super impressive. They frequently ask for our feedback and are quick to adapt to our requirements. Highly recommended!

    • Amanda Estey
      Amanda Estey Review from Google
      5.0 ★

      Amanda Estey's Review Sourced from Google

      I've always been able to get quality help in a timely manner when using Equivity Virtual Marketing Assistants. Highly recommend them for both short and long term solutions. The team is wonderful to work with and will source the right talent for your needs.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
    Visit Website View Profile
    5.0 5.0 (82)

  • Virtual Connect

    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
    • Healthcare Industry
    • Finance Industry
    • Fintech Industry
    Data sourced from the agency's DesignRush profile
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  • Purview Healthcare

    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
    • ABN Healthcare
    • Unified Health Services
    • Ingenious Global Solutions
    • Med A-Z
    Data sourced from the agency's DesignRush profile
    Visit Website View Profile
    1.0 1.0 (1)

  • AnnexMed INC

    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
      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
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    4.0 4.0 (120)

  • myVA360

    Vetted Virtual Assistants with a Broad Range of Expertise

    myVA360 provides on-going, on-demand support for businesses of all sizes. Get matched with a dedicated virtual assistant with a wide range of skills, for a fraction of the cost of hiring an employee...

    Top Services:

    • BPO
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $24/hr
    Minimal Budget
    Under $1,000

    myVA360 Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Adrianne Depew
    • Benjamin Kay
    • Betty Vrcek
    • Daniel Shkolnik
    • Erik Wildt
    • Haley Fuller
    • Jassimine Dixon
    • John Hornsby
    • Johnathan Lightfoot
    • Kofi Agyeman
    Data sourced from the agency's DesignRush profile
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BPO Companies by City

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BPO Specializations in the US

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Hiring Guide: How to Choose the Best BPO Service Providers in the US

How to choose the right BPO company for your business needs?

To choose the best company for your business needs:

  • Define the processes you want to outsource and the outcomes you expect.
  • Evaluate industry experience and relevant case studies.
  • Compare pricing models, contract terms, and scalability.
  • Review SLAs, security standards, and compliance requirements.
  • Assess communication, reporting cadence, and account management.
  • Verify reviews, client retention, and long-term performance history.

If you need help finding a US BPO company, you can submit your project requirements through the DesignRush Marketplace and receive a free shortlist of providers that match your scope, budget, and business needs.

What criteria should be used to compare BPO companies in the USA?

To compare a BPO company with another, businesses should evaluate:

  • Service scope and industry specialization, since 42% of organizations outsource to gain better access to talent and 20% to access new capabilities.
  • Pricing models and cost transparency, as 34% cite spend optimization as a primary driver for outsourcing.
  • Proven results, case studies, and client reviews, with 33% prioritizing improved quality and performance.
  • Service level agreements, KPIs, and reporting standards, driven by rising customer expectations, reported by 35% of organizations.
  • Data security, compliance, and risk management, as 19% outsource in response to an evolving risk landscape.
  • Scalability and team structure, aligned with the need for flexible and scalable talent models cited by 23% of businesses.
  • Communication and governance model, supporting better alignment to business strategy and operating model changes, noted by 27% of organizations.

What questions should you ask before hiring a BPO company?

Before hiring a United States BPO provider, businesses should ask:

Relevant Background

  1. What are the most notable BPO case studies you’ve delivered, and what results were achieved?
  2. Which industries and business functions do you specialize in?
  3. What types of processes do you have the strongest operational track record in?

Services and Processes

  1. Which processes would you manage, and how are they structured operationally?
  2. How do you handle onboarding, knowledge transfer, and process documentation?
  3. What does quality control and ongoing optimization look like?

Relevant to Your Project

  1. Which team members will support our account, and what relevant experience do they bring?
  2. How do you scale teams as demand, volume, or seasonality changes?
  3. What is the expected timeline from onboarding to full delivery?

What outcomes should businesses expect?

When partnering with a top BPO provider in the US, businesses can expect:

  • Lower operating costs versus in-house teams, with cost reduction and efficiency now baseline expectations, as 35% of GBS organizations strongly agree.
  • Improved efficiency and productivity, with 49% of organizations reporting measurable effort reduction.
  • Increased throughput, as 45% of companies report doing more with the same or fewer resources.
  • Access to specialized expertise and new capabilities, cited by 29% of businesses.
  • Scalable operations that adjust to demand, seasonality, and growth.
  • Consistent service quality tracked through SLAs, KPIs, and performance reporting.
  • Greater internal focus on core and revenue-driving activities.

What KPIs will define the success of a BPO partnership?

The success of a BPO partnership is typically defined by KPIs such as:

  • Service level attainment, including response time, resolution time, and accuracy.
  • Cost savings versus in-house operations.
  • Productivity metrics such as volume handled per agent or per hour.
  • Quality and compliance rates, including error reduction and audit results.
  • Customer satisfaction scores such as CSAT or NPS.
  • Revenue impact for sales, retention, or collections-focused engagements.

How to find the best BPO companies in the USA on DesignRush?

DesignRush curates top BPO companies in the USA across budget levels, helping businesses find the right provider based on scope, industry, and spend:

High budget: $50,000+
  • Hugo
  • SupportYourApp
  • MKC Agency
Low budget: $25,000-$50,000
  • Wiserbrand
  • Martal Group
  • Profusion Systems

 

Why People Trust DesignRush

Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding BPO companies in the USA. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.

DesignRush rating logos on Trustpilot and Google

Learn more about DesignRush Agency Ranking Methodology.

Sources

DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:

  • Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
  • The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.

Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.

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: 

  • 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?

BPO companies most commonly serve: 

  • Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development. 
  • Healthcare and medical billing, including claims processing, coding, and patient support. 
  • Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes. 
  • Legal services, with 68% of organizations are outsourcing legal and compliance tasks. 
  • Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing. 
  • Human resources, with 57% outsourcing HR functions such as payroll and benefits administration. 
  • Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making. 
  • Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%. 

What outsourcing models do US-based companies typically offer?

They typically offer these outsourcing models: 

  • Onshore outsourcing with US-based teams. 
  • Nearshore outsourcing using teams in nearby regions. 
  • Offshore outsourcing for cost-sensitive, high-volume work. 
  • Dedicated team models for long-term operations. 
  • Project-based outsourcing for fixed scope work. 
  • Hybrid models combining multiple delivery locations and pricing structures. 

How do businesses measure ROI when outsourcing to a BPO partner?

Businesses measure performance and ROI by tracking: 

  • Service level agreements such as response time, resolution time, and accuracy. 
  • Cost savings compared to in-house staffing and operations. 
  • Productivity metrics like volume handled per agent or per hour. 
  • Quality scores including error rates, compliance, and customer satisfaction. 
  • Revenue impact for sales, retention, or collections focused programs. 
  • Regular reporting, benchmarking, and quarterly performance reviews. 

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