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.

United States × Health Care × Sort by: Avg Hourly Price: Low to High ×Clear Filters
  • Modern Accounting Built To Grow Your Business

    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
  • We Book the Meetings, You Close the Deal.

    A powerhouse team that takes the headache out of prospecting by booking qualified, high-intent sales appointments for businesses. We don't just generate leads, we deliver sales-ready conversations straight to your calendar...

    Top Services:

    • BPO
    • Social Media Marketing
    • Email Marketing
    • Call Centers
    • Show more
    Location
    Albany, New York
    Number of Employees
    500 - 999
    Average Hourly Rate
    $5/hr
    Portfolios Count
    8 Projects Listed
  • Offshore Data Entry Service: Precision, Speed and Security

    Top Offshore BPO company...

    Top Services:

    • BPO
    • Accounting
    • Customer Support
    • Market Research
    • Web Design
    • Show more
    Location
    Sioux Falls, South Dakota
    Number of Employees
    100 - 249
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    4 Projects Listed
  • We talk, We Listen, We Provide Solutions

    Hire Live Support is a full-scale BPO service provider and a digital marketing company with 10+ years clientele and preparedness. We specialize in providing the leading live support services and new-age digital marketing gigs to SMEs, Enterprises, and Startups to delegate, scale, and manage business...

    Top Services:

    • Call Centers
    • BPO
    • Web Design
    • Web Development
    • SEO
    • Show more
    Location
    Cerritos, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    16 Projects Listed
  • Transforming Your Ideas Into Reality

    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
  • Medical Billing Services That Maximize Your Revenue

    At Expeditious Medical Billing, we provide complete medical billing and revenue cycle management solutions for healthcare providers of all sizes. Whether you're a solo practitioner managing patient care or a growing healthcare group handling high patient volumes, our team ensures your billing process runs...

    Top Services:

    • BPO
    Location
    Richmond, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $5/hr
  • 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
  • TechSpeed Inc: Women Owned Technology Company, Pioneering AI-Driven BPO Solutions

    TechSpeed Inc is a Women Owned Technology company. Founded in 2002, it is the first AI-driven Business Process Outsourcing (BPO) provider. Pairing AI-driven technology automation and Human in the Loop support, TechSpeed enables businesses of all sizes to grow with scalable outsourcing solutions...

    Top Services:

    • Customer Support
    • Transcription Services
    • Phone Answering Services
    • BPO
    • Web Design
    • Show more
    Location
    Portland, Oregon
    Number of Employees
    100 - 249
    Average Hourly Rate
    $6/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    4 Projects Listed
  • Hit Rate Solutions: Affordable Call Center ForSMEs US Businesses

    Decreasing costs, saving money, increasing leads, and enhancing your business: make Hit Rate Solutions your first choice for an outsourced call center!...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • Customer Support
    Location
    Chicago, Illinois
    Number of Employees
    100 - 249
    Average Hourly Rate
    $7/hr
    Minimal Budget
    Under $1,000
  • Hire The World Top 1% Virtual Assistant

    Include Work helps founders and teams save time and scale faster with expert Virtual Assistant and back-office support. With 100+ skilled VAs, we deliver reliable, high-quality solutions for admin, marketing, design, and research...

    Top Services:

    • IT Services
    • CRM Consulting
    • Digital Services
    • UI/UX Design
    • Digital Marketing
    • Show more
    Location
    Albuquerque, New Mexico
    Number of Employees
    50 - 99
    Average Hourly Rate
    $7/hr
    Minimal Budget
    Under $1,000
  • Dedicated Workforce Solution

    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
  • We offer 24-7 Inbound Contact Center Services that include Phone, Email, Live Chat, Text and Social Media Support Services. We also help with back-office support work including order processing, data entry and related VA tasks...

    Top Services:

    • Customer Support
    • Call Centers
    • Phone Answering Services
    • BPO
    • Show more
    Location
    Rehoboth Beach, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $8/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Your Perfect Partner For Improved Revenue Cycle Management Services

    We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...

    Top Services:

    • BPO
    Location
    Lansdale, Pennsylvania
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Minimal Budget
    Under $1,000
  • End-To-End Medical Billing Services

    We are a medical billing firm that provides '24/7 Medical Billing Services' and provides end-to-end medical billing solutions to physicians, hospitals, medical institutes, and group practices. With our speedy and low-cost services, we help you earn more money. Our tailored Income Cycle Management (RCM)...

    Top Services:

    • BPO
    Location
    Marietta, Georgia
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Portfolios Count
    1 Project Listed
  • Trust your buddy to have your back!

    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
  • Your success our process.

    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
  • For Every Voice, We Deliver a Solution

    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
  • Leading Virtual Assistant Services Provider

    Express Virtual Assistant (EVA) is a globally managed virtual workforce solutions provider that helps businesses streamline operations through structured, performance-driven support systems. Founded in 2004 as a subsidiary of Flatworld Solutions, EVA goes beyond traditional outsourcing by offering a...

    Top Services:

    • BPO
    Location
    Princeton, New Jersey
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $8/hr
  • Scalable 24/7 Support Teams

    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
  • Trusted By Leading Healthcare Providers

    Right on Time Billing Services is a Houston-based medical billing company offering coding, claims submission, and full revenue cycle management. We help Home Health, Hospice, and Behavioral Health practices reduce denials and increase revenue...

    Top Services:

    • Customer Support
    Location
    Houston, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $9/hr
    Minimal Budget
    $1,000 - $10,000
  • Global Support Redefined!

    IdeasUnlimited is a BPO with fifteen (15) years of experience in providing various BPO services...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • IT Services
    • BPO
    • Customer Support
    • Show more
    Location
    Sugar Land, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    2 Projects Listed
  • Hugo

    VerifiedVerified by the DesignRush team for authenticity and credibility.

    World-Class Outsourced Teams Operating 24/7 Globally, in 60+ Languages

    Hugo provides secure, end-to-end customer support, back office, AI operations, and trust & safety solutions for US-based and global clients. We are PCI DSS, ISO 27001, HITRUST, SOC 2 certified and HIPAA & GDPR compliant, to serve regulated industries including fintech, healthcare, and SaaS platforms...

    Top Services:

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Transcription Services
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    8 Projects Listed

    Hugo Services

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Transcription Services
    • Translation Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Google
    • Meta
    • Outschool
    • Topicals
    • Attentive
    • Faire
    • Sakara
    • Aurora
    Data sourced from the agency's DesignRush profile

    Hugo Reviews & Testimonials

    • Greg Digneo
      Greg Digneo founder at content guppy
      5.0★

      B2B Review from Greg Digneo

      Best decision we made last year was partnering with this CX team for our customer support, billing, and sales assistance. We were drowning in client emails and chasing invoices late at night instead of focusing on SEO strategy. Results have been incredible: client response times dropped from hours to under an hour, payment collection improved 60%, landing page conversions up 28%, and client retention increased 35%. They integrated seamlessly with our systems and scaled with us as we grew. Now we have more time to focus on delivering SEO results instead of being stuck in support tickets all day. If you're an agency juggling client support with campaign management, this team is a game-changer.

    • Nimmit Shah
      Nimmit Shah Owner at Pi Asset Management Ltd
      5.0★

      BPO Review from Nimmit Shah

      Collaborating with Hugo elevated our property management firm's performance. Their support solutions slashed response times by 40% and boosted tenant satisfaction by 30%. Hugo's seamless integration proved instrumental in propelling our business forward, setting new benchmarks in operational excellence.

    • Jambu Subramanian
      Jambu Subramanian Senior Manager of Operations at Kasha Global
      5.0★

      Customer Support Review from Jambu Subramanian

      Their team quickly integrated into our workflow, demonstrating a deep understanding of our business needs. We were impressed by their professionalism and the ease with which they handled complex customer inquiries. Hugo's technical support team showed exceptional problem-solving skills, significantly reducing resolution times for order issues.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Redefining Customer Experience

    We turn every interaction into a lasting relationship. Blending global reach with local expertise, AI-driven tools, and genuine human empathy, we help businesses transform customer journeys across every channel...

    Top Services:

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Show more
    Location
    Albany, New York
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    26 Projects Listed
  • Complete Enterprise Data Support - Data Entry, eCommerce Product Listing, Web Research, Data Mining,

    DataEntryIndia.in is a leading data management and BPO service provider with over 25 years of experience and 850+ full-time data experts...

    Top Services:

    • Market Research
    • BPO
    • Big Data Analytics
    • AI Development
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Offshore Online Data Entry

    Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently...

    Top Services:

    • BPO
    Location
    Bergenfield, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000
  • Realise your potential

    We are one of India's leading contact centre company catering to US, UK, Australia, India, Middle East & South East Asia markets. Our core domains are Fintech, Healthtech, Edtech, Wellness, Healthcare, Ecommerce, FMCG, BFSI, Education among other domains...

    Top Services:

    • Call Centers
    • BPO
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • Show more
    Location
    Lewisville, Texas
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Top Provider of Outsourcing and Customer Support

    Dalerio Consulting is an international Customer Support, Marketing and Business Process Outsourcing company with rapid growth and steady foundation...

    Top Services:

    • Customer Support
    • HR Outsourcing
    • BPO
    • Call Centers
    • Phone Answering 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
    Portfolios Count
    9 Projects Listed
  • Dedicated to provide billing solutions to medical providers.

    Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...

    Top Services:

    • Call Centers
    Location
    Tucson, Arizona
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • We Specialize in Providing a Full Suite Of RCM & Laboratory Billing Services

    We are one of the leading laboratory billing service and AR recovery services providers in the United States. We offer a comprehensive suite of profitable lab revenue cycle management...

    Top Services:

    • BPO
    Location
    Williamsport, Pennsylvania
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • The World's Top Talent for Remote Teams!

    1840 & Company is a global provider of talent and team solutions devoted to empowering businesses with scalable, on-demand workforce solutions. With a stringent verification procedure and a network of professionals in 150 countries, we connect organizations with remote talent of the highest caliber. Our...

    Top Services:

    • BPO
    • Staff Augmentation
    • HR Outsourcing
    • Customer Support
    • Call Centers
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000
  • Rise to Maximize Forever

    Virtual Mojoe is a one-stop solution to hiring the best virtual assistants online, who help you with all those mundane and daunting tasks so that you can achieve more by doing less and what matters most!...

    Top Services:

    • BPO
    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • We Listen. We Help. We Care.

    Medcare MSO is a healthcare revenue cycle management (RCM) company dedicated to enhancing the financial performance of healthcare organizations. Through the implementation of best practices and cutting-edge technology tools, we streamline processes, boost revenue, and expedite reimbursement cycles, ultimately...

    Top Services:

    • BPO
    Location
    Santa Fe, New Mexico
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Delivering Dependable Customer Support

    We help businesses deliver fast, reliable, and professional customer support across all channels. Whether you need inbound support, outbound follow-ups, or a dedicated remote team, we tailor our services to fit your operations and scale with your growth...

    Top Services:

    • BPO
    • Customer Support
    • Phone Answering Services
    • Call Centers
    • Show more
    Location
    St. Petersburg, Florida
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Portfolios Count
    2 Projects Listed
  • Transforming Healthcare Practices

    At Integrate Point, we specialize in empowering medical professionals with custom solutions designed to simplify and optimize medical management by ensuring regulatory compliance. Our services include medical credentialing, revenue cycle management (rcm), prior auth, practice management, healthcare digital...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    Wylie, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • 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
  • Our VAs Build Automation For You

    GoJarvis matches growing businesses with pre-trained virtual assistants who handle operations, sales support, and inbox management — while building custom automations that make your business run faster...

    Top Services:

    • BPO
    • HR Outsourcing
    • Customer Support
    • Phone Answering Services
    • Business Consulting
    • Show more
    Location
    Brea, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • 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
  • Caribbean roots, global reach.

    Founded in 2020, Oversea Staffing Solutions LLC has emerged as a leading call center staffing agency in the Caribbean, bridging the gap between world-class bilingual talent and forward-thinking businesses...

    Top Services:

    • BPO
    • Call Centers
    • Market Research
    • Phone Answering Services
    • HR Outsourcing
    • Show more
    Location
    Lithia Springs, Georgia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $11/hr
    Minimal Budget
    $1,000 - $10,000
  • Bringing people and technology together.

    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
  • Maximize Revenue. Minimize Hassle

    ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...

    Top Services:

    • Business Consulting
    • BPO
    Location
    Fort Worth, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Do What You Do Best, Go Hire The Rest

    At Go Hire Virtual, we help busy entrepreneurs and businesses scale without burnout. Our team of highly skilled virtual assistants handle the day-to-day, so you can focus on growth...

    Top Services:

    • BPO
    • Phone Answering Services
    Location
    South Salt Lake, Utah
    Number of Employees
    50 - 99
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Dedicated virtual assistants, fully vetted and fully managed.

    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
  • World-class outbound solutions in the US

    Since 2015, SSR Techvision has provided top-quality outsourcing services, including Back Office Support, Call Center Operations, Sales & Business Development, Healthcare Support, and E-commerce Solutions, across India and the US...

    Top Services:

    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Customer Support
    • Show more
    Location
    Tupelo, Mississippi
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Outsource Bookkeeping With Expert Back-Office Support

    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
  • Your Trusted Partner In Virtual Support & Business Efficiency

    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
  • #1 Trusted Medical Billing Company

    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
  • AI-Powered Medical Billing Company

    Dastify Solutions is a Texas medical billing and revenue cycle management company serving U.S. practices. Founded in 2024...

    Top Services:

    • BPO
    • Managed Services
    • Customer Support
    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Revolutionize Revenue Cycle Management For Healthcare

    iSolve RCM is the best medical billing company that offers comprehensive healthcare revenue management services, with a fee as low as 2.99% of monthly collections. We serve 50+ specialties in all 50+ states. Reach out to us for expert medical billing services in USA...

    Top Services:

    • BPO
    Location
    Edison, New Jersey
    Number of Employees
    250 - 499
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
131,903+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
48%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
153

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

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.Â