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.

Select the Best BPO Company in the USA

56 Companies - Rankings updated: September 07, 2026

DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.

United States × Health Care × $1,000 - $10,000 × Clear Filters
  • Helping medical practices streamline business operations to deliver better patient experience.

    Streamsoft is a rising healthcare business consulting firm ready to deliver client-centered solutions. Our holistic business approach complete with healthcare business, IT, and marketing services gives physicians an all-in-one support team to start and maximize their healthcare service potential...

    Top Services:

    • Web Design
    • SEO
    • Digital Marketing
    • BPO
    • Show more
    Location
    Southlake, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Flexible. Scalable. Exceptional

    ContactWorks is high value / high touch contact center outsourcing business that has a 20+ year history of providing great customer support. We deliver value in a wide range of services including customer service, technical support and client acquisition...

    Top Services:

    • Customer Support
    • Managed Services
    • IT Services
    • BPO
    • Call Centers
    • Show more
    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $28/hr
    Minimal Budget
    $1,000 - $10,000
  • SysMD-Excellence Delivered

    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
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    Location
    Houston, Texas
    Number of Employees
    Under 49
    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
  • 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
  • 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

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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