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 × $1,000 - $10,000 ×Clear Filters
  • 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
  • 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
  • Close more deals with ROI-focused lead acquisition

    Belkins is a B2B lead generation and #1 appointment setting agency helping companies build predictable pipeline through omnichannel allbound strategies. Belkins combines strategy, AI-backed outreach, and GTM expertise to drive long-term revenue growth across 50+ industries...

    Top Services:

    • Email Marketing
    • BPO
    • CRM Consulting
    • Business Consulting
    • Direct Marketing
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    18 Projects Listed
  • AI-Powered Support-as-a-Service Company Focused on the Tech Industry

    SupportYourApp is an international Intelligent Support-as-a-Service company that has been providing secure technical, customer support and CX services to growing companies around the globe since 2010...

    Top Services:

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Staff Augmentation
    • Show more
    Location
    Wilmington, Delaware
    Number of Employees
    1000 & Up
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    13 Projects Listed
  • 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
  • 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
  • Quality-centric Vietnamese IT Outsourcing Company

    LTS Group is a reliable Vietnam IT outsourcing company with 7+ years of experience in software development, software testing, and digital BPO...

    Top Services:

    • Software Development
    • Mobile App Development
    • Staff Augmentation
    • Software Testing
    • BPO
    • Show more
    Location
    Chantilly, Virginia
    Number of Employees
    250 - 499
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    8 Projects Listed
  • End-to-end Revenue Cycle Management

    Founded by medical billers, coders, and healthcare subject matter experts, MBW RCM is today the trusted back office partner for some of the top medical billing companies, physician practices, healthcare systems, revenue cycle, and EHR system providers in the United States...

    Top Services:

    • BPO
    Location
    Deerfield, Illinois
    Number of Employees
    250 - 499
    Average Hourly Rate
    $100/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
  • Making Work + Life Better

    KMC is a business services company dedicated to helping businesses fulfill their potential by making operations smoother and more efficient. Our comprehensive offerings range from end-to-end Employer of Record (EOR) services to beautifully designed workspace solutions...

    Top Services:

    • HR Outsourcing
    • Customer Support
    • IT Services
    • Digital Marketing
    • Business Consulting
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • You Have the Plans. We Have the People. Lets Grow Together.

    EBQ is an outsourced sales and marketing organization that provides services to help companies scale...

    Top Services:

    • BPO
    • Call Centers
    • CRM Consulting
    • Customer Support
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    5 Projects Listed
  • Enhancing Healthcare Rcm With Superior Accuracy and Efficiency

    MediBill RCM is leading medical billing and coding company in the U.S, based in Texas. As an accredited online medical billing and coding company in America, our certified specialists support your practice from patient arrival to payment, focusing on improving your revenue cycle management...

    Top Services:

    • BPO
    • Business Consulting
    • Transcription Services
    Location
    Houston, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • Business processes, outsourced without compromise

    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
  • AI-Powered Medical Billing Company

    Dastify Solutions is an Austin, Texas-based revenue cycle management (RCM) firm with a presence in California, specializing in AI-driven medical billing, credentialing, and accounts receivable (AR) recovery...

    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
  • Boost Your Customer Reviews Today

    At Convuent, we understand that reviews and mentions can make or break a business. That's why we offer a suite of tools designed to help you get more customer reviews, showcase your best ones, and mitigate any negative ones already out there...

    Top Services:

    • BPO
    Location
    San Clemente, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Complete revenue cycle management services from the highest reviewed RCM partner working with you.

    BellMedex is the nation's most highly rated revenue cycle management company. Our customers enjoy superior communication, rapid response times, best-in-class claims management, and exceptional claim follow-up and denial management...

    Top Services:

    • BPO
    Location
    Seattle, Washington
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • We Provide Medical Billing Services in California.

    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
  • Expert Back-Office Outsourcing Solutions

    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
  • We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.

    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
  • Grow Your Healthcare Business With Us

    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

    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
  • Trusted Medical Billing Company Across United States

    AIM RCM Solutions is a trusted partner for healthcare practices looking to improve billing and revenue cycle management...

    Top Services:

    • BPO
    Location
    Albany, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Leading Healthcare RCM Company in New York

    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
  • Your Reliable Billing Help

    Liberty Liens is a reliable partner for doctors across the United States. We handle billing, lien filing, claim tracking, and day-to-day support to make the complex side of practice management easier, faster, and more dependable...

    Top Services:

    • BPO
    Location
    Irvine, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Healthcare Billing Services And Solution In USA

    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
  • Expert Behavioral Health Billing That Simplifies Your Workflow

    Behavioral Health RCM Services provide high-quality behavioral health billing services in California. At Behavioral Health RCM Services, we dont just manage billing we become a trusted extension of your team, committed to your financial success and operational efficiency...

    Top Services:

    • BPO
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/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
  • Billing You Can Trust

    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
  • 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
  • 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
  • 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
  • Medical Billing Services For Growing Practices

    Ebillient MedRevenue provides expert medical billing and coding services in the USA, helping healthcare providers and clinics optimize revenue cycle management. We reduce claim denials, accelerate reimbursements, and ensure compliance with industry standards. Our reliable solutions improve cash flow...

    Top Services:

    • BPO
    • Reputation Management
    Location
    Wilmington, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Partner For All Your Business Needs

    Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...

    Top Services:

    • BPO
    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Transform Your Revenue Cycle for Faster, Higher Returns!

    Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...

    Top Services:

    • BPO
    • Digital Marketing
    Location
    Brea, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Revolutionize Your Healthcare Practice.

    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
  • Medical Credentialing, Payer Contracting, & Billing

    Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...

    Top Services:

    • Customer Support
    • BPO
    • Business Consulting
    • Accounting
    • Show more
    Location
    Cranberry, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • AI-Enabled, Human-Validated Data Support, Engineered for Enterprises

    SunTec Data is a global leader in AI-enabled data, BPO, and KPO solutions, backed by over 25 years of experience and 1,500+ data professionals across 50+ countries. Combining advanced AI tools with human-in-the-loop oversight, we deliver ISO-certified, HIPAA-compliant data management...

    Top Services:

    • Market Research
    • BPO
    • Big Data Analytics
    • eCommerce
    • AI Development
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • 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
  • Connecticut's Premier Medical Billing Solutions

    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
  • Professional Multilingual Communication And Support At Scale

    Fluency LLC provides a comprehensive suite of human-led call center services designed to bridge communication gaps and enhance customer experience. Based in Columbus, Ohio, we specialize in high-stakes environments where linguistic precision and cultural empathy are essential...

    Top Services:

    • Call Centers
    • BPO
    • Translation Services
    • Customer Support
    • Phone Answering Services
    • Show more
    Location
    Hilliard, Ohio
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    2 Projects Listed
  • 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
  • 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
  • Streamlining Credentialing, Empowering Care

    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
  • Enterprise Translation, Localization & Interpreting

    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
  • Your business now has global specialists!

    Tazriel is a global outsourcing partner providing affordable remote service expertise for Software Development, Microsoft Power Platform automation, Mendix app Builds, Cvent event technology support, IT Administration and AI Training. With 24/7 support and cost savings of upto 70%, we help businesses...

    Top Services:

    • Digital Services
    • Web Design
    • Web Development
    • Social Media Marketing
    • Event Marketing
    • Show more
    Location
    Springfield, Illinois
    Number of Employees
    50 - 99
    Average Hourly Rate
    $29/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
  • 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

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
130,200+
2

Portfolio Review

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

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
68

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