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
We drive B2B SaaS growth with expert lead generation, appointment setting, web research, and BPO services, optimizing your sales and outreach efforts...
Top Services:
- Web Development
- Digital Marketing
- BPO
- Location
- Denver, Colorado
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
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
Cavinolr Recruiters specializes in connecting top-tier talent with organizations in CS, Retention , sales, life sciences, healthcare, and biotechnology sectors. The firm combines industry expertise with personalized strategies to deliver exceptional recruitment solutions tailored to clients' unique needs...
Top Services:
- BPO
- Phone Answering Services
- Translation Services
- Customer Support
- Show more
- Location
- Plantation, Florida
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Five9 delivers comprehensive CCaaS solutions, empowering businesses to create exceptional customer experiences through expert support, advanced technology, and customer-focused strategies...
Top Services:
- BPO
- Call Centers
- Location
- San Ramon, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $149/hr
Global Services BPO provides tailored inbound and outbound call center services, live chat, email, lead generation, and back-office solutions, enabling businesses to reduce costs while maintaining high-quality customer experiences...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
A trusted provider of data entry outsourcing services with over 20 years of experience, offering cost-effective solutions to businesses worldwide. Known for precision, transparency, and efficiency, the agency ensures operational excellence and data accuracy for its clients...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
A minority-owned BPO company specializing in customer service, sales, and recruitment process outsourcing. Leveraging award-winning innovations in training and coaching, the agency delivers exceptional customer experiences while boosting satisfaction, loyalty, and operational efficiency...
Top Services:
- Call Centers
- BPO
- Location
- Thousand Oaks, California
- Number of Employees
- 500 - 999
- Minimal Budget
- $1,000 - $10,000
A global provider of innovative contact center and BPO solutions specializing in inbound and outbound services for B2B and B2C clients. The agency enables businesses to focus on their core competencies while delivering seamless operational support to drive growth and efficiency...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $25,000 - $50,000
A dynamic BPO provider offering customized solutions to enhance operational efficiency and customer satisfaction. With a global presence spanning the U.S., Jamaica, and India, the agency specializes in delivering exceptional customer service and tailored business solutions...
Top Services:
- BPO
- Location
- Boca Raton, Florida
- Number of Employees
- 100 - 249
- Minimal Budget
- $1,000 - $10,000
A premier provider of Revenue Cycle Management (RCM) services specializing in medical and dental billing. With a focus on accuracy and efficiency, the agency helps healthcare providers optimize cash flow, enhance revenue integrity, and prioritize patient care...
Top Services:
- BPO
- Location
- South Bend, Indiana
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
BolsterBiz specializes in offshoring services designed to optimize efficiency and boost business performance. Our tailored solutions, including 24/7 Customer Support, Digital Marketing, and Data Analytics, cater to your unique business needs...
Top Services:
- Customer Support
- Staff Augmentation
- BPO
- Location
- Wilmington, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/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
Data Entry Export has been established to be the leading offshore data entry services in USA. As we all know, data has become an integral element of every business organization. Hence, it is of utmost to implement systematic data management process. Regardless of your business nature and functioning, our...
Top Services:
- BPO
- Market Research
- Staff Augmentation
- Location
- Bergenfield, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Magellan Solutions USA delivers expert contact center and digital marketing services tailored to your business needs. From inbound and outbound support to live chat, telemarketing, and SEO, we help businesses enhance customer engagement and drive growth. As a small, minority-owned business with diverse...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Customer Support
- Show more
- Location
- Melbourne FL, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $29/hr
- Minimal Budget
- Under $1,000
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
The NYC medical billing company is based in New York City, the city of lights and elites. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Technodream provides high-quality, affordable web development, web design, online marketing, and call center services for businesses in the US, UK, and Australia...
Top Services:
- BPO
- Call Centers
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing, accurate coding, efficient submissions, denial management, centralized billing, in-depth analytics, and secure...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Welcome to Cornerstone Global HR, your trusted partner for comprehensive HR services. We specialize in delivering tailored solutions to address the unique challenges faced by organizations in talent acquisition, payrolling, employer of record services, onboarding, and more. With our expertise and commitment...
Top Services:
- HR Outsourcing
- Business Consulting
- BPO
- Location
- The Woodlands, Texas
- Number of Employees
- Under 49
We are dynamic and versatile team of digital marketing experts who bring together diverse talents and experiences to deliver exceptional results for our clients...
Top Services:
- SEO
- PPC
- Social Media Marketing
- Video Production
- BPO
- Show more
- Location
- Los Angeles, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services include insurance verification, medical coding, claims processing, denial management, and A/R follow-up...
Top Services:
- BPO
- Digital Marketing
- Location
- Fresno, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
GetNuva connects businesses in the USA with exceptional virtual assistants worldwide. Boost your productivity, drive growth, and embrace diversity with our cost-effective solutions. Lets transform your business together...
Top Services:
- HR Outsourcing
- Content Marketing
- Graphic Design
- Market Research
- BPO
- Show more
- Location
- West Hartford, Connecticut
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Partner with us for comprehensive business solutions. Whether you need long-term recruitment support or streamlined operational assistance, we offer tailored expertise to meet your unique requirements. Our dual-support approach ensures efficient, effective solutions that drive your business forward...
Top Services:
- Branding
- HR Outsourcing
- Web Development
- Creative Services
- Public Relations
- Show more
- Location
- Linden, New Jersey
- 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
We are a tech production company that specializes in virtual events. Our team will work with you to plan and coordinate every aspect of your event, ensuring that it runs smoothly and seamlessly...
Top Services:
- Video Production
- Branding
- Audio Production
- Translation Services
- Digital Marketing
- Show more
- Location
- Middletown, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
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
- Show more
- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
Beam creates generative AI agents that automate repetitive tasks, boost productivity, and empower teams to focus on strategic work. Seamlessly integrating with business applications, our AI-driven solutions enhance efficiency across Product, Sales, Marketing, HR, and beyond...
Top Services:
- AI Development
- BPO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
At Phyiatric, we simplify the complex. As a full-service healthcare revenue cycle management partner, we empower providers with tailored solutions that drive efficiency, optimize cash flow, reduce denials, successful claim filing, and ensure compliance - every step of the way. Our experts and technology for...
Top Services:
- BPO
- Customer Support
- Phone Answering Services
- Call Centers
- Transcription Services
- Show more
- Location
- Moseley, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
VA Talks is the best virtual assistant company in the USA, offering expert online personal assistant services to manage tasks, scheduling, admin support and more...
Top Services:
- Web Design
- Graphic Design
- BPO
- IT Services
- Show more
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave...
Top Services:
- Accounting
- BPO
- Location
- Alexandria, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Staffwiz helps startups and growing businesses hire top-tier global remote talent with up to 70% payroll savings. Choose from fully managed or direct hire models, and start building your remote team in weeks, not months...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
Wise Medical Billing is a U.S.-based revenue cycle management (RCM) firm that provides end-to-end billing, coding, AR recovery, credentialing and denial management services. Their certified coders and IT-driven team help healthcare practices maximize reimbursement, reduce administrative burden, and streamline...
Top Services:
- BPO
- Location
- Newark, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
IM Services delivers practical, cost-effective digital solutions designed to support business growth. As a legally registered organization, we leverage cutting-edge digital tools to drive efficiency and performance. Our thorough screening and vetting process ensures access to a highly skilled talent pool...
Top Services:
- Web Development
- Mobile App Development
- eCommerce Development
- BPO
- Digital Marketing
- Show more
- Location
- Canby, Oregon
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
At Humalife Healthcare, we go beyond expectations by delivering high-quality digital tools and services that help healthcare providers work smarter, serve better, and grow sustainably...
Top Services:
- BPO
- Location
- Claymont, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Quicklyster provides fully managed 24/7 customer support and Tier 1 tech support for SaaS, eCommerce, and digital-first brands. We offer free backup agents, fast deployment, native English agents, and flexible pricing all without contracts or setup fees. Whether you need live chat, phone, email, or helpdesk...
Top Services:
- BPO
- Social Media Marketing
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $9/hr
- Minimal Budget
- $1,000 - $10,000
Hexaware is a global technology and business process services company. Every day, Hexawarians wake up with a singular purpose: to create smiles through great people and technology. With offices across the world, we empower enterprises worldwide to realize digital transformation at scale and speed...
Top Services:
- IT Services
- Managed Services
- AI Development
- Software Development
- Cloud Consulting
- Show more
- Location
- Jersey City, New Jersey
- Number of Employees
- 1000 & Up
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
Transcure Medical Billing Services offers nationwide medical billing, focusing on accurate coding, timely claims, and reducing denials. We help small and specialty practices streamline billing, improve reimbursements, and maintain financial stability, so you can focus on patient care...
Top Services:
- BPO
- AI Development
- Location
- Farmers Branch, Texas
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
Rhode Island Medical Billing is a trusted medical billing agency that partners with healthcare providers to streamline claims processing, manage accounts receivable and maximize reimbursements. The agency focuses on accuracy, compliance and efficiency to help practices improve revenue cycle management...
Top Services:
- BPO
- Location
- Cranston, Rhode Island
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
At HomeX, we are a results-driven virtual assistant agency helping businesses across the U.S. and beyond scale faster and operate smarter. Based in Prishtina, Kosovo, we specialize in cold calling, lead generation, and customer support all delivered by trained, English-speaking virtual teams...
Top Services:
- Digital Marketing
- BPO
- SEO
- Social Media Marketing
- PPC
- Show more
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
eNoah iSolution is a global IT and BPO services firm with over 18 years in operation. Certified in ISO27001 (and HIPAA compliant), the company employs more than 1,800 professionals across six countries. It supports clients in over 20 verticals including several Fortune500 companies offering secure business...
Top Services:
- Mobile App Development
- IT Services
- BPO
- Location
- Westlake Village, California
- Number of Employees
- 1000 & Up
We provides top-class offshore SEO virtual assistants. Hire individually or build your SEO team to be your industry's organic leader. When you need SEO support to assist with your businesss organic growth, our SEO VAs are available on an hourly, part-time, full-time, project-based, or monthly basis...
Top Services:
- SEO
- BPO
- Location
- Santa Fe, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
OneMed Billing helps healthcare providers handle their billing smoothly and correctly. We take care of everything from medical coding and sending claims to following up on denials and collecting payments from patients. Our main focus is to help you avoid delays, keep your cash flow steady, and reduce mistakes...
Top Services:
- BPO
- Location
- Wilmington, Delaware
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
Prossistant is your trusted partner in business support, streamlining operations, client communication, and back-office processes. Our skilled team delivers tailored assistance across marketing, sales, administration, accounting, paralegal, and technical workflows. Integrated seamlessly into your systems, we...
Top Services:
- BPO
- Accounting
- Customer Support
- Location
- Madison, Wisconsin
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
We help businesses connect with their customers through fast, friendly and reliable communication...
Top Services:
- BPO
- Call Centers
- Customer Support
- Phone Answering Services
- Show more
- Location
- Denver, Colorado
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $10,000 - $25,000
A leader in providing Medical Credentialing, Licensing & Billing services nationwide. Our mission is to simplify the administrative challenges faced by healthcare providers. We provide services for physician group practices, medical laboratories, skilled nursing facilities, telehealth & more...
Top Services:
- BPO
- Business Consulting
- Accounting
- Staff Augmentation
- Show more
- Location
- Jacksonville, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Billing MedTech streamlines medical billing with tech-powered solutions that boost revenue, reduce denials, and simplify RCM. Supporting 80+ practices across 35+ specialties, we help healthcare providers focus on patient care while we handle billing with accuracy, transparency, and speed...
Top Services:
- BPO
- Location
- Texas City, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...
Top Services:
- Customer Support
- BPO
- Location
- Kansas City, Missouri
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
Popular Services
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
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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