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 × Professional Services × $1,000 - $10,000 ×Clear Filters
  • Hire A Remote AI Specialist, Not Another VA Stuck In 2015.

    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
  • 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
  • Elevating Business Efficiency. Driving Success.

    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
  • Consulting That Multiplies Your Success

    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
    • Show more
    Location
    Oakland, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Outsourced B2B cold calling with published pricing

    Outsourced B2B cold calling for US companies that need booked meetings, not another tool. We build the call list, write the script, run the dialer and put qualified meetings on your calendar. The 30 day pilot is $2,997 and guarantees 2,000 dials and 100 live connects, meaning a real person picked up. If we...

    Top Services:

    • Call Centers
    • BPO
    • Direct Marketing
    • Market Research
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Dedicated Workforce Solution

    Online VA Team supports businesses with virtual assistant and customer service solutions. Our team helps organizations manage day-to-day administrative and client support needs with dependable, professional service...

    Top Services:

    • Call Centers
    • BPO
    • Phone Answering Services
    • Customer Support
    • HR Outsourcing
    • Show more
    Location
    Ann Arbor, Michigan
    Number of Employees
    Under 49
    Average Hourly Rate
    $7/hr
    Minimal Budget
    $1,000 - $10,000
  • Helping Jacksonville & St. Augustine small businesses get found on Google, Google Maps and AI

    Grow Local Flow helps Jacksonville and St. Augustine small businesses rank higher in Google Maps and the Local 3-Pack. We specialize in Local SEO, Google Business Profile optimization, custom website design, AI search optimization (GEO), and Google Ads.Services include on-page SEO, schema markup, citations...

    Top Services:

    • Digital Services
    • Digital Strategy
    • Web Design
    • Web Development
    • Digital Marketing
    • Show more
    Location
    Saint Johns, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Headquartered in Kansas City, serving the Midwest.

    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
  • Reliable Truck Dispatch Services in the USA | SD Global Services

    In order to make a trucking business successful, effective dispatching, technology solutions, and customer service play a crucial role. Similarly, in scaling operations, efficient systems and clear communication are key to growth and long-term success...

    Top Services:

    • Digital Services
    • Web Design
    • Web Development
    • WordPress Website Design
    • Affiliate Marketing
    • Show more
    Location
    Milwaukee, Wisconsin
    Number of Employees
    50 - 99
    Average Hourly Rate
    $200/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
129,262+
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
9

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