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.
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
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- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $6/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
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
ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...
Top Services:
- BPO
- Accounting
- Location
- Hillsborough Township, New Jersey
- Number of Employees
- 250 - 499
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
At United Alliances, we bridge the gap between busy insurance agencies and the power of remote talent. We specialize in providing highly-trained virtual assistants (VAs) with a deep understanding of the insurance industry. Our mission is to streamline your operations, enhance customer service, and free up...
Top Services:
- BPO
- Location
- Cleveland, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
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
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
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 help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...
Top Services:
- BPO
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
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
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
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
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
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
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- Location
- Cranberry, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
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
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
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
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
WGS2D is a boutique business and technology consulting firm built by experienced leaders from top-tier firms. We're known for moving fast, delivering real outcomes, and putting the client first always. What sets us apart is how we execute. We don't just advise; we own results. Our Say/Do ratio is 100%. if we...
Top Services:
- Managed Services
- Cloud Consulting
- IT Services
- DevOps Consulting
- Cybersecurity
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- Location
- Oakland, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
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
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
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
Medrina Technology Management specializes in workers' compensation billing, collections, lien management, and medical transcription. We streamline revenue cycles, reduce administrative burdens, and ensure compliance, enabling healthcare providers to focus on patient care while we handle billing complexities...
Top Services:
- Transcription Services
- BPO
- Customer Support
- Business Consulting
- Show more
- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
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
360 Automation AI develops custom AI agents and automates complex workflows to help businesses save time, reduce operational costs, and increase revenue...
Top Services:
- AI Development
- Business Consulting
- AEO
- BPO
- Software Development
- Show more
- Location
- Kansas City, Missouri
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Naqvix is a technology and operations partner for US companies. Rather than one generalist bench, we run dedicated specialist teams — each led by an industry expert — under one roof: custom web and SaaS development; iOS, Android, Flutter and React Native apps; AI agents, chatbots and workflow automation;...
Top Services:
- Software Development
- Web Development
- Mobile App Development
- AI Development
- BPO
- Show more
- Location
- San Ramon, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/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: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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