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.
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
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
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
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
Swagpro Medical Billing Services is recognized as the best medical billing company in Nebraska, offering top-quality, end-to-end medical billing services in Nebraska...
Top Services:
- BPO
- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $1,000 - $10,000
Routine audits are key to ensuring accurate billing and regulatory compliance. At eBridge RCM LLC, we conduct comprehensive monthly billing audits designed to uncover errors, monitor performance trends, and reveal areas for operational enhancement. Our timely evaluations and easy-to-understand reports empower...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
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
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
1Degree Surveillance is a nationwide commercial remote video monitoring and CCTV monitoring provider that helps businesses detect, verify, and respond to security threats in real time.The service combines AI-powered threat detection with trained, U.S.-based security operators who monitor connected camera...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations...
Top Services:
- BPO
- Business Consulting
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
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
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
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- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
We provide guidance and support that acts as a seamless extension of your business. Our trained agents treat your clients with the warmth and respect they deserve, utilizing AI guidance to ensure fast, first-call resolutions without unnecessary escalations...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Palos Heights, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $14/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
ANR Medical Billing LLC is a Connecticut-based revenue cycle management company helping healthcare providers maximize reimbursements and reduce claim denials. We specialize in end-to-end medical billing, coding, credentialing, and denial management for practices across the USA...
Top Services:
- BPO
- Transcription Services
- Business Consulting
- Location
- New London, Connecticut
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
First Call Solutions helps businesses grow through performance marketing, lead generation, and pay-per-call solutions. We specialize in delivering high-quality leads, inbound calls, and customer acquisition solutions across insurance, healthcare, home services, legal, and financial industries. Our focus is on...
Top Services:
- Affiliate Marketing
- CRO
- Media Buying
- Digital Marketing
- PPC
- Show more
- Location
- Houston, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
ScribeEMR provides AI-assisted and human medical scribing services that help healthcare providers reduce documentation burden and focus more on patient care. Our trained medical scribes work in real time to capture clinical encounters, maintain accurate electronic health records, and ensure HIPAA-compliant...
Top Services:
- Transcription Services
- BPO
- Location
- Woburn, Massachusetts
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Virtustant places pre-vetted Latin American professionals with US companies and never charges recruitment fees: clients pay only the hire's salary, payroll and compliance included. Shortlists arrive in 48 hours, average time-to-hire is 3 days, and every placement carries a lifetime replacement guarantee...
Top Services:
- HR Outsourcing
- BPO
- Customer Support
- Phone Answering Services
- Accounting
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
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
Without an expert SEO partner, your online business risks losing visibility. Your website may fail to rank well in search engine results pages (SERPs), resulting in lower organic traffic and missed opportunities. Moreover, choosing the right SEO Agency in USA or working with a reliable SEO Company in USA...
Top Services:
- Web Design
- Web Development
- Cloud Consulting
- Business Consulting
- BPO
- Show more
- Location
- Houston, Texas
- Number of Employees
- 50 - 99
- Minimal Budget
- $1,000 - $10,000
Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...
Top Services:
- Accounting
- Market Research
- Business Consulting
- Call Centers
- BPO
- Show more
- Location
- Delaware City, Delaware
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $400/hr
- Minimal Budget
- $1,000 - $10,000
MNM Digital Agency in Hanover, MD helps local businesses grow with SEO, Google Business optimization, and high-converting websites. We focus on improving rankings, increasing visibility, and generating real leads through smart digital marketing strategies...
Top Services:
- Digital Services
- Web Development
- eCommerce Development
- WordPress Website Design
- SEO
- Show more
- Location
- Maryland City, Maryland
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
Popular Services
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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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