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.
First Call Solutions helps businesses grow through performance marketing, lead generation, and pay-per-call solutions. We specialize in delivering high-quality leads, inbound calls, and customer acquisition solutions across insurance, healthcare, home services, legal, and financial industries. Our focus is on...
Top Services:
- Affiliate Marketing
- CRO
- Media Buying
- Digital Marketing
- PPC
- Show more
- Location
- Houston, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
At Bitwords, we drive growth by leveraging AI and advanced digital transformation across the contech, fintech, and e-commerce industries. We specialize in creating seamless, tech-forward experiences that connect brands with their customers, optimize complex ecosystems, and maximize market opportunities...
Top Services:
- Design Services
- Digital Strategy
- eCommerce Development
- Web Development
- AI Development
- Show more
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 3 Projects Listed
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
Vitalis Outsourcing Provides Trained, Vetted, and Managed Virtual Assistants for Real Estate, Property Managaement, Legal, Home Service, and Growing Service-Based Businesses...
Top Services:
- BPO
- Call Centers
- Business Consulting
- Customer Support
- HR Outsourcing
- Show more
- Location
- Georgiana, Alabama
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
HealthCare Call Center provides 24/7, HIPAA-compliant medical call answering and appointment support for healthcare practices across the U.S. Our U.S.-based team ensures every patient call is handled with care and confidentiality...
Top Services:
- Digital Services
- Advertising
- Staff Augmentation
- BPO
- Call Centers
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Outsourced NetSuite accounting and fractional CFO services for $5-$100M companies. Clean books, a 5-day close and the NetSuite reporting you need to drive decisions...
Top Services:
- Accounting
- Business Consulting
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
1Degree Surveillance is a nationwide commercial remote video monitoring and CCTV monitoring provider that helps businesses detect, verify, and respond to security threats in real time.The service combines AI-powered threat detection with trained, U.S.-based security operators who monitor connected camera...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
CloudRCM Solutions is a nationwide medical billing and revenue cycle management company helping healthcare providers improve collections, reduce denials, and streamline billing operations. Our services include medical billing, coding, credentialing, A/R management, denial management, and revenue cycle support...
Top Services:
- Accounting
- Customer Support
- Call Centers
- Transcription Services
- BPO
- Show more
- Location
- Park Ridge, Illinois
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
WGS2D is a boutique business and technology consulting firm built by experienced leaders from top-tier firms. We're known for moving fast, delivering real outcomes, and putting the client first always. What sets us apart is how we execute. We don't just advise; we own results. Our Say/Do ratio is 100%. if we...
Top Services:
- Managed Services
- Cloud Consulting
- IT Services
- DevOps Consulting
- Cybersecurity
- Show more
- Location
- Oakland, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
ResolveCX is an AI-driven, cloud-native platform for managing customer complaints, escalations, cases, and problem investigations with speed and accuracy. Built on AWS, it streamlines the full lifecycle from intake to resolution through intelligent routing, automated workflows, and real-time collaboration...
Top Services:
- AI Development
- DevOps Consulting
- IT Services
- Cloud Consulting
- Staff Augmentation
- Show more
- Location
- San Francisco, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
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
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
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
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
Lenders Allies is a mortgage services company providing appraisal management, mortgage due diligence, quality control, and related solutions to lenders, investors, and financial institutions...
Top Services:
- Business Consulting
- Market Research
- Accounting
- Phone Answering Services
- Transcription Services
- Show more
- Location
- Tampa, Florida
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...
Top Services:
- BPO
- Digital Marketing
- Location
- Brea, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
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
Hire With Near is a staffing and recruiting agency that helps US companies build remote teams in Latin America across all departments. You get one dedicated recruiter who learns your business, sources against your requirements, and stays your point of contact after the hire. We handle sourcing, screening...
Top Services:
- HR Outsourcing
- Staff Augmentation
- BPO
- Location
- San Antonio, Texas
- Number of Employees
- 50 - 99
- 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
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Call Point Business Solutions Ltd. is a business process outsourcing company established in 2017. The company provides customer-facing, administrative, technical, financial and sales support services to international businesses...
Top Services:
- Digital Services
- Digital Strategy
- Reputation Management
- BPO
- Call Centers
- Show more
- Location
- Comanche, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $5/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
MediCommerce is a medical group management company providing comprehensive administrative, financial, and clinical operations support for healthcare providers from revenue cycle and coding to credentialing, pre charting, referral and scheduling services, bookkeeping, and payroll...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Accounting
- Transcription Services
- Show more
- Location
- Dallas, Texas
- Number of Employees
- 50 - 99
Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...
Top Services:
- Digital Strategy
- Creative Services
- Public Relations
- Graphic Design
- Digital Services
- Show more
- Location
- El Paso, Texas
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
VOSKPO LLC is a US-based revenue-cycle and knowledge-process company founded in 2015 and headquartered in Albuquerque, New Mexico...
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
Customer Direct answers your calls and gives you answers about your business. What makes us unique: we analyze every single interaction, not just a small sample like most call centers...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- AI Development
- Show more
- Location
- Maryland Heights, Missouri
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Simpalm Staffing helps U.S. businesses build reliable remote teams with vetted professionals from Latin America. It provides specialized virtual assistants, bookkeepers, virtual paralegals, and remote staff for operational support. Its hiring process combines screening with AI-assisted matching to identify...
Top Services:
- Customer Support
- Accounting
- BPO
- Staff Augmentation
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Online VA Team supports businesses with virtual assistant and customer service solutions. Our team helps organizations manage day-to-day administrative and client support needs with dependable, professional service...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- HR Outsourcing
- Show more
- Location
- Ann Arbor, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $7/hr
- Minimal Budget
- $1,000 - $10,000
Best Data Conversion Services in USA offering secure document, PDF, image, and database conversion with fast turnaround and high accuracy...
Top Services:
- Graphic Design
- Logo Design
- Design Services
- Digital Strategy
- Product Design
- Show more
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
Transform Targets helps organizations scale operational capacity without increasing internal overhead. We provide skilled professionals who integrate directly into existing workflows, enabling businesses to operate efficiently while maintaining full visibility and control. Our focus is simple: support the...
Top Services:
- BPO
- Customer Support
- Logistics
- Call Centers
- Business Consulting
- Show more
- Location
- McKinney, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
LTCPro is a US-based healthcare outsourcing company providing revenue cycle management, medical billing, prior authorization, payroll, accounts payable, and bookkeeping exclusively for Skilled Nursing and Assisted Living facilities. Built for 25 to 50 bed operators who need specialist back-office support...
Top Services:
- Accounting
- BPO
- Location
- Pocatello, Idaho
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Naqvix is a technology and operations partner for US companies. Rather than one generalist bench, we run dedicated specialist teams — each led by an industry expert — under one roof: custom web and SaaS development; iOS, Android, Flutter and React Native apps; AI agents, chatbots and workflow automation;...
Top Services:
- Software Development
- Web Development
- Mobile App Development
- AI Development
- BPO
- Show more
- Location
- San Ramon, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
Swift Billing Solutions helps healthcare providers streamline medical billing, reduce claim denials, accelerate reimbursements, improve practice efficiency, and maximize revenue for long-term financial growth...
Top Services:
- BPO
- Customer Support
- Accounting
- Software Development
- Mobile App Development
- Show more
- Location
- Texas City, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
MedPayersMD is an Austin, Texas medical billing and revenue cycle management company. We handle coding, claims, eligibility, denial management, AR recovery and credentialing so practices get paid right, faster. Serving physicians statewide in Texas and nationwide...
Top Services:
- Business Consulting
- BPO
- Location
- Austin, Texas
- Number of Employees
- Under 49
US-based outsourced dental billing for practices and DSOs — insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Works inside the practice’s existing PMS. Published pricing, month-to-month, no onboarding fee...
Top Services:
- BPO
- Location
- Nashville, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
Growth Cab helps B2B tech companies that sell $50K+ contracts build a predictable pipeline. We start from the accounts a client wants to win, sharpen the positioning, then put trained sales professionals in front of decision makers on LinkedIn and email. Since 2022 we have worked with 400+ B2B clients in the...
Top Services:
- Business Consulting
- BPO
- Digital Marketing
- Social Media Marketing
- Email Marketing
- Show more
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
KnowCode, a unit of DigitalSquad LLC, provides web development, mobile app development, custom software, UI/UX design, branding, and digital marketing solutions to help businesses strengthen their digital presence and achieve growth...
Top Services:
- Digital Services
- WordPress Website Design
- SEO
- Software Development
- CRM Consulting
- Show more
- Location
- Georgia, Vermont
- Number of Employees
- Under 49
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $25,000 - $50,000
Outsourced B2B cold calling for US companies that need booked meetings, not another tool. We build the call list, write the script, run the dialer and put qualified meetings on your calendar. The 30 day pilot is $2,997 and guarantees 2,000 dials and 100 live connects, meaning a real person picked up. If we...
Top Services:
- Call Centers
- BPO
- Direct Marketing
- Market Research
- Show more
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
We provide guidance and support that acts as a seamless extension of your business. Our trained agents treat your clients with the warmth and respect they deserve, utilizing AI guidance to ensure fast, first-call resolutions without unnecessary escalations...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Palos Heights, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $14/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...
Top Services:
- Accounting
- Market Research
- Business Consulting
- Call Centers
- BPO
- Show more
- Location
- Delaware City, Delaware
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $400/hr
- Minimal Budget
- $1,000 - $10,000
ProMantra is a US based healthcare RCM company supporting medical practices and providers across all the 50 states. Our team handles medical billing, coding, prior authorization, denail managment and End-to-End RCM services...
Top Services:
- Business Consulting
- BPO
- AI Development
- Location
- Watchung, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $10,000 - $25,000
Amasu Consulting is an enterprise ecosystem architecture and business process re-engineering firm serving high-growth technology, CPG, manufacturing, and e-commerce sectors. We diagnose systemic friction points within 30 days to design aggressive scaling roadmaps. To execute plans flawlessly, we deploy a...
Top Services:
- Business Consulting
- CRM Consulting
- ERP Consulting
- ECM Consulting
- Cloud Consulting
- Show more
- Location
- Riverview, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $10,000 - $25,000
TRUCARE is a trusted medical billing and revenue cycle management company helping healthcare providers simplify billing, improve collections, and maximize revenue...
Top Services:
- BPO
- Business Consulting
- Accounting
- Location
- Bermuda Dunes, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
Virtual Staffer PH is a Philippines-based recruitment and staffing agency connecting U.S. businesses with skilled Filipino professionals. We specialize in recruiting virtual assistants, bookkeepers, accountants, administrative staff, customer support representatives, and remote professionals. Our services...
Top Services:
- BPO
- HR Outsourcing
- Accounting
- Customer Support
- Digital Services
- Show more
- Location
- St. Louis, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $40/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
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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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