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

485 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.

United States × Sort by: Number of Reviews ×
  • Trusted Medical Billing Company

    Trusted Medical Billing Company

    HelloMDs streamlines medical billing through smart, technology-driven solutions that increase revenue, minimize claim denials, and simplify the entire RCM process. Supporting 80+ practices across 48+ specialties, we enable healthcare providers to focus on patient care while we manage billing with accuracy...

    Top Services:

    • BPO
    • Accounting
    • Digital Marketing
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Trusted Expertise Proven Results

    Trusted Expertise Proven Results

    Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary...

    Top Services:

    • BPO
    Location
    Corona, California
    Number of Employees
    250 - 499
    Minimal Budget
    $25,000 - $50,000
  • Best Option For Nearshore Call Center Services

    Best Option For Nearshore Call Center Services

    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
  • Medical Billing & Revenue Cycle Management Company

    Medical Billing & Revenue Cycle Management Company

    Connexus Cure is the medical billing company in United States helps healthcare practices get paid faster, reduce denials, and maximise revenue through expert medical billing & rcm services...

    Top Services:

    • BPO
    Location
    Branchburg, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements...

    Top Services:

    • BPO
    Location
    Southfield, Michigan
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Get Back to What Matters Weve Got the Solution

    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
  • A Partner That Values Your Financial Health

    A Partner That Values Your Financial Health

    At Quantum Health Services, we simplify the process of finding the best medical billing services tailored to your practice. Our platform connects healthcare providers with top-rated billing specialists to ensure efficient revenue cycle management. With seamless inquiry forms and expert support, we help you...

    Top Services:

    • BPO
    Location
    Albuquerque, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000
  • RCM Solutions That Prevent Revenue Leakage

    RCM Solutions That Prevent Revenue Leakage

    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
  • Reducing Physician Burnout Through Accurate, Real-Time Medical Documentation

    Reducing Physician Burnout Through Accurate, Real-Time Medical Documentation

    ScribeEMR provides AI-assisted and human medical scribing services that help healthcare providers reduce documentation burden and focus more on patient care. Our trained medical scribes work in real time to capture clinical encounters, maintain accurate electronic health records, and ensure HIPAA-compliant...

    Top Services:

    • Transcription Services
    • BPO
    Location
    Woburn, Massachusetts
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Take Care Of Your Patients, We Will Take Care Of Your Revenue.

    Take Care Of Your Patients, We Will Take Care Of Your Revenue.

    CareRevenue helps dental practices optimize revenue through intelligent billing, insurance verification, and denial management. Combining automation with expert support, CareRevenue streamlines the entire revenue cycle to deliver faster payments and stronger financial outcomes...

    Top Services:

    • BPO
    Location
    Kissimmee, Florida
    Number of Employees
    500 - 999
  • Outsource With Confidence

    Outsource With Confidence

    Platonics provides cost-effective medical staffing solutions with HIPAA-trained remote staff. Build your ideal team and save up to 75% on staffing costs...

    Top Services:

    • Call Centers
    • BPO
    • IT Compliance Solution
    • Transcription Services
    • Phone Answering Services
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
  • Medical Billing Services For Growing Practices

    Medical Billing Services For Growing Practices

    Ebillient MedRevenue provides expert medical billing and coding services in the USA, helping healthcare providers and clinics optimize revenue cycle management. We reduce claim denials, accelerate reimbursements, and ensure compliance with industry standards. Our reliable solutions improve cash flow...

    Top Services:

    • BPO
    • Reputation Management
    Location
    Wilmington, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Lead Generation At Startup Speed

    Lead Generation At Startup Speed

    Startupr is an outbound lead generation agency built for B2B startups that need predictable pipeline without hiring an in-house SDR team...

    Top Services:

    • Digital Services
    • BPO
    Location
    Orange County, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • To Streamline & Grow Their Business With Us

    To Streamline & Grow Their Business With Us

    Xassure by eDesk is a trusted customer support and back-office solutions provider helping businesses deliver exceptional customer experiences. We specialize in chat support, email support, voice support, and administrative services designed to reduce workload and improve operational efficiency...

    Top Services:

    • SEO
    • Email Marketing
    • Branding
    • Digital Marketing
    • PPC
    • Show more
    Location
    Simi Valley, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $8/hr
    Minimal Budget
    Under $1,000
  • Expert Infusion Billing That Helps Your Practice Get Paid Faster

    Expert Infusion Billing That Helps Your Practice Get Paid Faster

    Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...

    Top Services:

    • BPO
    Location
    Sheridan, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $70/hr
    Minimal Budget
    $50,000 & Up
  • Most trusted Technology Partner

    Most trusted Technology Partner

    Mysoft Heaven (BD) Ltd. is a Top Software Development Company with 15+ years of excellence. We specialize in enterprise-grade solutions like ERP, FinTech, e-Governance, and HRMS (HR Sheba). Our scalable SaaS platforms and Cyber Security solutions empower global organizations...

    Top Services:

    • Web Development
    • Digital Marketing
    • Mobile App Development
    • Software Development
    • Staff Augmentation
    • Show more
    Location
    Miami, Florida
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $25,000 - $50,000
  • Your Patients. Our Billing Expertise

    Your Patients. Our Billing Expertise

    Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...

    Top Services:

    • BPO
    Location
    Franklin Square, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Trusted Partner For All Your Business Needs

    Your Trusted Partner For All Your Business Needs

    Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...

    Top Services:

    • BPO
    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Enterprise IT Solutions That Drive Business Growth

    Enterprise IT Solutions That Drive Business Growth

    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
  • Professional Multilingual Communication And Support At Scale

    Professional Multilingual Communication And Support At Scale

    Fluency LLC provides a comprehensive suite of human-led call center services designed to bridge communication gaps and enhance customer experience. Based in Columbus, Ohio, we specialize in high-stakes environments where linguistic precision and cultural empathy are essential...

    Top Services:

    • Call Centers
    • BPO
    • Translation Services
    • Customer Support
    • Phone Answering Services
    • Show more
    Location
    Hilliard, Ohio
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    2 Projects Listed
  • Elevate Your Online Presence

    Elevate Your Online Presence

    MNM Digital Agency in Hanover, MD helps local businesses grow with SEO, Google Business optimization, and high-converting websites. We focus on improving rankings, increasing visibility, and generating real leads through smart digital marketing strategies...

    Top Services:

    • Digital Services
    • Web Development
    • eCommerce Development
    • WordPress Website Design
    • SEO
    • Show more
    Location
    Maryland City, Maryland
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Optimizing Your Revenue One Cycle At A Time

    Optimizing Your Revenue One Cycle At A Time

    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
  • Connecticut's Premier Medical Billing Solutions

    Connecticut's Premier Medical Billing Solutions

    ANR Medical Billing LLC is a Connecticut-based revenue cycle management company helping healthcare providers maximize reimbursements and reduce claim denials. We specialize in end-to-end medical billing, coding, credentialing, and denial management for practices across the USA...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    Location
    New London, Connecticut
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • We Create With Your Needs And Preferences In Mind.

    We Create With Your Needs And Preferences In Mind.

    GoBro Web Services is a California-based web design and digital solutions agency that helps businesses strengthen their online presence through professional website design, web and app development, branding, SEO, digital marketing, and technical support services. The agency focuses on delivering modern...

    Top Services:

    • Digital Services
    • Graphic Design
    • Web Design
    • Digital Marketing
    • Email Marketing
    • Show more
    Location
    Lake Elsinore, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Empowering Healthcare Providers

    Empowering Healthcare Providers

    Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...

    Top Services:

    • Customer Support
    • IT Services
    • BPO
    • Call Centers
    • Business Consulting
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $15/hr
    Portfolios Count
    1 Project Listed
  • Software. Design. Innovation.

    Software. Design. Innovation.

    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
  • Hire A Remote AI Specialist, Not Another VA Stuck In 2015.

    Hire A Remote AI Specialist, Not Another VA Stuck In 2015.

    We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...

    Top Services:

    • BPO
    Location
    Clearwater, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Experience You Can Trust

    Experience You Can Trust

    Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...

    Top Services:

    • BPO
    • Customer Support
    • Transcription Services
    • Phone Answering Services
    • CRM Consulting
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • All-in-One AI-Powered EHR, Medical Billing & RCM

    All-in-One AI-Powered EHR, Medical Billing & RCM

    FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    12 Projects Listed
  • Trusted Medical Billing Services

    Trusted Medical Billing Services

    WeCare Billing LLC is a trusted medical billing and revenue cycle management company that helps healthcare providers maximize revenue through accurate billing, faster claim processing, proactive denial management, and compliance-focused solutions tailored to practices of all sizes...

    Top Services:

    • BPO
    Location
    Boynton Beach, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
  • Your Financial Success, Simplified.

    Your Financial Success, Simplified.

    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
  • Medical Credentialing, Payer Contracting, & Billing

    Medical Credentialing, Payer Contracting, & Billing

    Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...

    Top Services:

    • Customer Support
    • BPO
    • Business Consulting
    • Accounting
    • Show more
    Location
    Cranberry, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • Delegate Everything But Leadership.

    Delegate Everything But Leadership.

    Wing is a managed assistant service that places dedicated, AI-trained assistants inside growing companies and healthcare practices. Wing handles recruiting, training, and oversight, so clients get coverage they direct without managing performance, replacements, or continuity themselves. Assistants work inside...

    Top Services:

    • BPO
    Location
    Berkeley, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $8/hr
  • A Virtual Assistant Agency For Growing Businesses

    A Virtual Assistant Agency For Growing Businesses

    The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...

    Top Services:

    • BPO
    • HR Outsourcing
    • Phone Answering Services
    • Customer Support
    • Call Centers
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Providing Tools And Resources To Businesses

    Providing Tools And Resources To Businesses

    Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...

    Top Services:

    • BPO
    • Accounting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    St. Petersburg, Florida
    Number of Employees
    500 - 999

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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