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.
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
Outsource Work is an Outstaffing Company specializing in Finance Recruitment and Bookkeeping Services. We help businesses hire skilled Ukrainian professionals who deliver accuracy, reliability, and cost savings of up to 70%...
Top Services:
- BPO
- Accounting
- Staff Augmentation
- HR Outsourcing
- Show more
- Location
- Austin, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
DGC BPO Service is a premier US-based outsourcing company offering expert customer service, call center solutions, virtual assistance, and lead generation. We help businesses optimize operations, improve customer experiences, and drive growth with tailored, efficient solutions...
Top Services:
- BPO
- Call Centers
- Customer Support
- Phone Answering Services
- Digital Marketing
- Show more
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Our mission is to empower healthcare providers with reliable, transparent, and cost-effective outsourcing solutions that enhance financial performance and operational efficiency. By focusing solely on RCM and medical billing, we aim to simplify the financial side of healthcare, allowing providers to maximize...
Top Services:
- BPO
- Location
- Fresno, California
- Number of Employees
- Under 49
SysMD delivers smart, efficient healthcare solutions through expert revenue cycle management, medical billing, credentialing, coding, and transcription services. Founded in 2020, we help medical practices boost profitability, reduce administrative burdens, and stay compliant. Our team blends deep industry...
Top Services:
- Transcription Services
- Call Centers
- Market Research
- Accounting
- BPO
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
Sundus is a leading global HR solutions provider with over 27 years of experience. The company is 100% Emirati-owned and managed, with a highly diversified international team that has extensive experience in human resource management. Sundus offers a comprehensive range of services that include HR outsourcing...
Top Services:
- HR Outsourcing
- BPO
- Staff Augmentation
- Business Consulting
- Logistics
- Show more
- Location
- Newark, Delaware
- Number of Employees
- 100 - 249
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
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
- 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
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
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
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
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
Bitrupt specializes in transforming ideas into successful digital products. We offer custom software development, mobile and web application development, product consulting, UI/UX design, and AI solutions. By combining technical expertise with strategic thinking, we help businesses unlock new opportunities...
Top Services:
- Web Development
- Software Development
- Mobile App Development
- UI/UX Design
- Customer Support
- Show more
- Location
- Dover, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 2 Projects Listed
The firm offers tax, accounting and consulting services. We handle the back-office and bookkeeping functions of many private companies in South Florida. We are also happy to report that our lists continue to grow...
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Fort Lauderdale, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Expert Medical Billing helps healthcare practices improve more than just collections. Our approach focuses on strengthening overall profitability by reducing claim denials, speeding up reimbursements, and identifying overlooked revenue opportunities. With a more efficient revenue cycle and consistent cash...
Top Services:
- BPO
- Location
- Indianapolis, Indiana
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $100/hr
- Portfolios Count
- 1 Project Listed
Aurexis Global Commerce helps brands, sellers, retailers, and growing online businesses manage the operational side of e-commerce. From product catalogs and marketplace listings to multi-channel store support, our hands-on team helps keep e-commerce operations accurate, organized, and scalable across Shopify...
Top Services:
- BPO
- eCommerce Development
- eCommerce
- SEO
- Staff Augmentation
- Show more
- Location
- Los Angeles, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Endicott Comm Inc was established in October of 2007. Our team is committed to the Answering Service and Contact Center industry and delivering what we promise. The purchase of smaller answering services comprises the company that Endicott has become. Client referrals as a result of quality, and our company...
Top Services:
- Phone Answering Services
- Call Centers
- BPO
- Digital Marketing
- Show more
- Location
- Miami, Florida
- Number of Employees
- Under 49
BPO Companies by City
BPO Companies by State
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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