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.
Our goal is to maintain work ethics throughout the project's duration in addition to technical excellence and on-time project completion...
Top Services:
- Digital Services
- Digital Strategy
- Mobile App Development
- Software Development
- eCommerce Development
- Show more
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 5 Projects Listed
RCM Matter is a top Revenue Cycle Management company that offers a comprehensive product of fully integrated clinical, revenue cycle, credentialing, medical billing & coding, practice management solutions, coding transcription, and data management...
Top Services:
- BPO
- Location
- Glendale, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
3i Data Scraping is a Best Web data scraping services and Data Extraction Company USA. Web Crawling, Data Mining Services to global clients. Hire our scraper experts the USA...
Top Services:
- BPO
- Big Data Analytics
- Digital Services
- IT Services
- Show more
- Location
- Houston, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
Golden Gate BPO offers a comprehensive range of services including multi-channel contact center solutions, customer engagement services and more...
Top Services:
- BPO
- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Ecco is a Contact center & BPO provider, located in Santiago de los Caballeros, Dominican Republic, since its foundation in 2007 is committed to excellence and innovation, the acquired experience and reputation allow us to build long term relationships with our clients...
Top Services:
- Call Centers
- BPO
- Digital Marketing
- Location
- Deerfield Beach, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
Web Screen Scraping has been Providing World-Class Data Scraping Solutions to the Different Industries Like E-Commerce, Real Estate, Import/Export, Sales Lead, Social Media, News & Articles, Finance, Entertainment, Market Research, etc...
Top Services:
- BPO
- Location
- Baytown, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity...
Top Services:
- BPO
- Software Development
- Location
- Newport Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...
Top Services:
- Business Consulting
- Call Centers
- BPO
- Phone Answering Services
- Show more
- Location
- Sioux Falls, South Dakota
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
We ask the right questions to make sure we have a full understanding of your business. We are readily available at an hour of the day and on multiple channels...
Top Services:
- BPO
- Location
- Chicago, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
We help startups and enterprises to drive digital engineering initiatives by helping them provide a rich, seamless experience to their customers across digital channels resulting in higher engagement, efficiency, and profitability...
Top Services:
- Software Testing
- Software Development
- IoT
- Wearables
- BPO
- Show more
- Location
- Allen, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Cube Accounting Solutions bookkeeping firm based in Newport Beach is one of the most preferred outsourced end-to-end bookkeeping service providers...
Top Services:
- Accounting
- BPO
- Location
- Newport Beach, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
A global customer experience (CX) management solutions provider, Startek delivers best-in-class omnichannel CX, digital transformation, virtual receptionist, call and contact center, and enterprise tech services for leading brands, from Fortune 500s to fast-growing startups...
Top Services:
- BPO
- Call Centers
- Location
- Greenwood Village, Colorado
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
HelloSells is a 24/7 Lead qualification, capture and response service. We help small businesses boost their conversion rate and improve their ROI. We instantly respond to your leads, qualify them and schedule appointments for you. We also provide call center and 24/7 appointment scheduling services...
Top Services:
- BPO
- Phone Answering Services
- Call Centers
- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Physicians Revenue Group, Inc. is the best medical billing company in the USA, that helps physicians to focus on patient care and boost their practice revenue...
Top Services:
- BPO
- Digital Marketing
- Web Design
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Physician Billing Company ensures 99.5% collection of your billed revenue. Serving in 48 states, we are helping independent physicians & practices increase their practice revenue by up to 30%...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Riseup Labs is a global AI-first technology company delivering software, BPO, and CX solutions that help enterprises innovate faster, scale smarter, and grow sustainably. From Bangladesh to the world, we design and build reliable solutions and agentic workflows that drive real outcomes...
Top Services:
- Mobile App Development
- Web Development
- eCommerce Development
- Software Development
- Staff Augmentation
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 6 Projects Listed
iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software...
Top Services:
- BPO
- Web Design
- WordPress Website Design
- Managed Services
- IT Services
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Day Translations is a U.S.-based language services company providing professional translation, localization, and interpreting services in 500+ languages...
Top Services:
- Translation Services
- Transcription Services
- SEO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
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
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
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
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
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
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
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
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
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
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
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
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 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 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
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
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
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
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
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
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
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
At 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗖𝗮𝗿𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀, we are more than just a medical billing company, we are your trusted partner in maximizing revenue, minimizing claim denials, and streamlining your entire Revenue Cycle Management (RCM) process. With deep expertise in the...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Looking for new healthcare medical billing solutions? Dive into our essential guide for inclusive strategies and tips with CareMedix...
Top Services:
- BPO
- Location
- Henderson, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
MedsIT Nexus is a results-driven healthcare billing services and solutions partner specializing in accurate medical billing, coding, credentialing, and data-powered RCM solutions. We help healthcare providers improve collections, reduce denials, streamline operations, and achieve consistent financial growth...
Top Services:
- BPO
- Location
- Uniondale, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
BPO Companies by City
BPO Companies by State
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:
- 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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