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.
Ecomva provides virtual assistant services and e-commerce SEO services to help businesses grow online. Our team of experienced virtual assistants can help you with a variety of tasks, including customer service, social media management, email marketing, and more...
Top Services:
- BPO
- eCommerce Development
- Digital Marketing
- Web Design
- Show more
- Location
- Fremont, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
DAK IT HUB GROUP is a leading digital publisher that provides sales, lead generation & customer care services to our clients. We realize that single-channel cannot provide you with desired results. To ensure consistent quality and complete coverage, we utilize a multi-channel approach...
Top Services:
- Digital Marketing
- BPO
- Location
- Los Angeles, California
- Number of Employees
- Under 49
Evateck is a Business Process Outsourcing (BPO) provider helping businesses scale operations through dedicated and shared teams customer support, back-office, content moderation, and data entry. Expertise across SaaS, eCommerce, fintech, healthcare, and logistics...
Top Services:
- BPO
- Customer Support
- Call Centers
- Phone Answering Services
- Staff Augmentation
- Show more
- Location
- Fort Lauderdale, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $16/hr
- Minimal Budget
- $1,000 - $10,000
Our IT Outsourcing Services Company provides reliable offshore staffing services. For your customized business needs, our offshore profesionals helps you generate higher ROI...
Top Services:
- IT Services
- BPO
- Web Development
- Mobile App Development
- Graphic Design
- Show more
- Location
- Dallas, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
Nicoya Tech is a U.S.-based outsourcing and digital services agency that helps businesses reduce operational costs by 30% to 60% through offshore solutions. Specializing in BPO services such as customer support, data processing, and back-office operations, Nicoya Tech also offers web development and digital...
Top Services:
- BPO
- Customer Support
- Location
- Orlando, Florida
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Influx.com is the #1 on-demand service partner for growing brands. Since 2013, Influx has been trusted by 750+ brands & delivered fully managed, on-brand support, 24/7, on month-to-month plans. Our human + AI teams deliver better customer experience for e-commerce, SaaS, Tech brands worldwide...
Top Services:
- Customer Support
- Call Centers
- BPO
- HR Outsourcing
- AI Development
- Show more
- Location
- West Hollywood, California
- Number of Employees
- 1000 & Up
- Portfolios Count
- 2 Projects Listed
CSV Now, a premier consulting firm, excels in talent acquisition, content marketing, and Business Process Outsourcing (BPO). We elevate leading tech brands with holistic business solutions, combining expert talent sourcing and impactful brand communication. With a proven history of success, CSV Now is your...
Top Services:
- BPO
- Call Centers
- Customer Support
- Content Marketing
- Accounting
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
Certified Healthcare Billing is a premier medical billing company based in California. We specialize in providing comprehensive billing services tailored to the healthcare industry. Our expertise ensures efficient, accurate, and compliant billing solutions for healthcare providers...
Top Services:
- BPO
- Location
- Los Angeles, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Personiv offers flexible outsourced accounting solutions to optimize finance operations and reduce costs. With a dedicated team approach, the firm empowers businesses to refocus on strategic initiatives while handling their day-to-day financial tasks efficiently and professionally. Personiv specializes in...
Top Services:
- Accounting
- BPO
- HR Outsourcing
- Location
- Austin, Texas
- Number of Employees
- 1000 & Up
MediBillMD provides medical billing, coding, and revenue cycle management services to healthcare providers. MediBillMD values are reflected in our dedication to delivering the most efficient solutions for medical billing and revenue cycle management...
Top Services:
- BPO
- Location
- Dallas, Texas
- Number of Employees
- 100 - 249
Reps Direct, a business process outsourcing (BPO) agency, specializes in providing highly skilled remote staff to support the growth and efficiency of businesses. By offering dedicated representatives fluent in multiple languages and equipped to handle diverse roles from customer service to tech support, Reps...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Grupo Noa International is a leading multilingual call center outsourcing agency enhancing business efficiency and global market expansion. With a focus on optimizing business operations and reducing costs, the agency offers tailored solutions that empower businesses to expand their reach and enhance customer...
Top Services:
- Call Centers
- BPO
- Location
- Miami, Florida
- Number of Employees
- 100 - 249
InTouch offers comprehensive call center solutions that enhance customer communications and support business growth. Its services range from call screening and appointment scheduling to 24/7 live operators and custom answering services for various industries. InTouch's professional team ensures seamless...
Top Services:
- Phone Answering Services
- Call Centers
- BPO
- Location
- Martinsburg, West Virginia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
- Accounting
- HR Outsourcing
- BPO
- Location
- Syracuse, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $1/hr
GlowTouch specializes in customer service outsourcing, helping clients improve retention and enhance brand loyalty through first-contact issue resolution. Its agents become experts on the client's business, turning customer care into a revenue center while its technical talent supports in-house information...
Top Services:
- BPO
- Location
- Louisville, Kentucky
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $49/hr
- Minimal Budget
- $50,000 & Up
IBN Technologies provides tailored business process outsourcing (BPO) services to drive financial efficiency and growth. With expertise in finance and accounting, information technology (IT) services, and automation, IBN Technologies helps businesses streamline operations, reduce costs, and gain real-time...
Top Services:
- BPO
- Location
- Miami, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
PRWTech delivers comprehensive business process outsourcing (BPO) services, including document processing, facilities management, and clerical support for government and private companies. With over three decades of experience, PRWTech provides cost-effective solutions that promote customer loyalty and...
Top Services:
- BPO
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Pacific Global, a business process outsourcing (BPO) firm, specializes in transforming revenue cycle management for healthcare providers. With technology-enabled services and analytics-driven solutions, Pacific Global enhances operational efficiency, maximizes revenue, and improves patient and physician...
Top Services:
- BPO
- Location
- Hackensack, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
At Professional Communications Messaging Service, Inc. (PCMSI), we pride ourselves on being the knowledgeable, courteous voice that reliably answers your phone and so much more. With over 55 years of experience, we have established ourselves as a leading provider of high-quality, custom professional answering...
Top Services:
- Phone Answering Services
- BPO
- Location
- Erie, Pennsylvania
- Number of Employees
- Under 49
Global Hola is a virtual talent outsourcing agency dedicated to helping small businesses find exceptional professionals from around the globe. With one of our virtual assistants or talents on your team, you can focus more on big-picture projects while we handle remote tasks...
Top Services:
- BPO
- Location
- Gallatin, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
BackOffice Pro, a leader in backoffice outsourcing, enables businesses to escalate their growth. We handle non-essential parts of your operation, allowing you to focus on your core competencies...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
Ascend BPO is a comprehensive solutions provider, offering a diverse range of services from healthcare BPO to cutting-edge IT solutions. Our portfolio includes database management, business intelligence, and robust application development for desktop, web, and mobile platforms...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Softech Systems has been delivering excellence to the world since 1998. We have served every continent with our expert services and competence. For utmost satisfaction of our clients, we ensure tailored and contemporary services...
Top Services:
- Software Development
- Software Testing
- Cloud Consulting
- Digital Marketing
- SEO
- Show more
- Location
- Virginia, Washington
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $35/hr
SkyTech Global is a Bangladesh-based global delivery, business process, and technology company powering scalable operations worldwide.Formerly SkyTech Solutions...
Top Services:
- BPO
- Customer Support
- Call Centers
- Location
- Los Angeles, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
PrognoCIS, a division of Harris Computer has been in the electronic medical record market for over 22 years...
Top Services:
- BPO
- Location
- Niagara Falls, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $280/hr
CEOVerge is a trusted leader in medical billing, offering over 25 years of expertise in maximizing revenue for healthcare providers. We streamline the entire revenue cycle, from claim submission to appeals, ensuring fast, accurate payments while letting providers focus on patient care...
Top Services:
- Business Consulting
- BPO
- HR Outsourcing
- Location
- Stafford, Virginia
- Number of Employees
- Under 49
- Minimal Budget
- $10,000 - $25,000
Global collaboration and expansion does not need to be complicated. At Elite Precision Consulting, we help organizations enter and penetrate global markets with both ease, strategy and peace of mind. With nearly 2 decades of international business management experience, we place value on creating synergistic...
Top Services:
- Business Consulting
- BPO
- Reputation Management
- Customer Support
- Market Research
- Show more
- Location
- Seattle, Washington
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $125/hr
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
PrimeSync Solutions is a business process outsourcing (BPO) firm that helps businesses reduce costs, scale efficiently, and deliver exceptional customer experiences. Providing top-tier talent and cutting-edge technology, the firm empowers companies to overcome operational challenges while maintaining quality...
Top Services:
- BPO
- Location
- Columbus, Ohio
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
247 Secretary offers comprehensive offshore workforce solutions tailored to diverse business needs. Offering customer care, tech support, and back office outsourcing solutions, 247 Secretary ensures seamless service delivery with its highly skilled teams in the Philippines. With 24/7 availability and a...
Top Services:
- BPO
- Location
- Ocala, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
WC Call Center excels in business-to-business (B2B) appointment setting and telemarketing, focusing on generating high-quality appointments with C-level executives. Its experienced professionals ensure each appointment meets rigorous qualification standards and drives new sales opportunities. The firm acts as...
Top Services:
- Call Centers
- BPO
- Location
- Modesto, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
Davie Kaplan offers comprehensive accounting and wealth management services for businesses and individuals. With expertise in tax management, audit, compliance, and financial planning, the firm provides insightful strategies to help clients grow and protect their financial assets. Its team delivers...
Top Services:
- Accounting
- Location
- Rochester, New York
- Number of Employees
- 100 - 249
Pyramids Global provides comprehensive medical billing solutions designed to optimize revenue and reduce errors in healthcare practices. By outsourcing medical billing to the firm, clients benefit from cost-effective operations, enhanced revenue cycle management, and adherence to industry regulations. The...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
Redial BPO delivers top-tier business process outsourcing (BPO) solutions focused on cost reduction and cultural alignment. Established in 2017, the firm operates across four locations in Mexico and South Africa, offering significant savings and advanced technology. Its nearshore and offshore services provide...
Top Services:
- Call Centers
- BPO
- Location
- San Diego, California
- Number of Employees
- 500 - 999
- Minimal Budget
- $50,000 & Up
Profusion Systems is a leading mobile application and software development agency that turns creative concepts into innovative, user-friendly solutions. Founded in 2012, the agency specializes in custom software, cloud migration, and chatbot development, catering to mid and large-sized businesses. With a...
Top Services:
- Software Development
- Cloud Consulting
- Mobile App Development
- Web Development
- Software Testing
- Show more
- Location
- Downers Grove, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- $10,000 - $25,000
We redefine the standards of Medical Billing Services In California (RCM), standing as a beacon of excellence in the industry...
Top Services:
- BPO
- Business Consulting
- Location
- San Bernardino, California
- Number of Employees
- Under 49
We are Providers Care Billing LLC, a medical billing company based in Illinois, USA, offering comprehensive medical billing and coding services at a competitive rate of just 2.89%. With a 4.9-star rating and outstanding client feedback, we proudly maintain a 100% satisfaction rate...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Schaumburg, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
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
Hire globally, stress-free, with a reliable Virtual Assistant for just $10/hour no contracts, no setup fees, no hassle. Pixel Buddys dedicated Virtual Buddies take care of time-consuming tasks so you can focus on growing your business and enjoying life.Trust your buddy to have your back!...
Top Services:
- HR Outsourcing
- BPO
- Location
- Pueblo, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...
Top Services:
- eCommerce Development
- Web Development
- Digital Marketing
- Software Development
- Managed Services
- Show more
- Location
- Sugar Land, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Lead Avenger LLC runs done-for-you cold email and LinkedIn outreach for B2B companies and marketing agencies worldwide.We find decision makers and manage the entire process, from lead research to booking appointments, so you get real conversations and meetings, letting you focus on closing deals...
Top Services:
- Email Marketing
- Digital Marketing
- BPO
- Market Research
- Direct Marketing
- Show more
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Portfolios Count
- 1 Project Listed
We are a professional medical billing company in Connecticut revolutionizing the revenue cycle of providers through cutting-edge billing and coding services...
Top Services:
- BPO
- Location
- Glastonbury, Connecticut
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
As a leading IT consulting and outsourcing services firm, Buchanan Technologies helps organizations across North America turn their business technology into a powerful competitive advantage. Small, mid-size, and Fortune 100 businesses all rely on us for our expert perspective, technical know-how and...
Top Services:
- Managed Services
- Cloud Consulting
- Cybersecurity
- IT Services
- IT Compliance Solution
- Show more
- Location
- Dallas, Texas
- Number of Employees
- 1000 & Up
EZ Settle Solutions is a global innovator in the fields of medical billing & coding services in USA.Get control over coding challenges, billing complexities and optimize Revenue Cycles Reduce claim denials, recover missed revenue and increase cash flow...
Top Services:
- BPO
- Business Consulting
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
Real Assistance provides specialized business consulting and outsourcing services exclusively for real estate professionals. Its experienced consultants, analysts, paralegals, and managers offer affordable support for routine administrative tasks, allowing clients to focus on core business activities. By...
Top Services:
- BPO
- Business Consulting
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Medrina Technology Management specializes in workers' compensation billing, collections, lien management, and medical transcription. We streamline revenue cycles, reduce administrative burdens, and ensure compliance, enabling healthcare providers to focus on patient care while we handle billing complexities...
Top Services:
- Transcription Services
- BPO
- Customer Support
- Business Consulting
- Show more
- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
We are a full-service dental billing organization with 1,000+ professional billers and coders across the U.S., helping dental practices boost revenue, cut costs, and focus on patient care...
Top Services:
- BPO
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Rossa provides highly trained, bilingual legal virtual assistants to law firms and solo practitioners across the U.S. Our experts handle case management, legal reception, client intake, and more seamlessly integrating into your operations. Designed to reduce costs, boost efficiency, and support growth, Rossa...
Top Services:
- BPO
- Phone Answering Services
- Customer Support
- HR Outsourcing
- Show more
- Location
- Arlington, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
You have arrived at the ideal location if you are seeking a trustworthy partner to simplify your staffing requirements. Leading IT and healthcare staffing Solutions Cloud Space LLC is committed to producing customized and significant outcomes...
Top Services:
- Business Consulting
- HR Outsourcing
- Market Research
- BPO
- Show more
- Location
- Charlotte, North Carolina
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
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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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