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.
A premier provider of Revenue Cycle Management (RCM) services specializing in medical and dental billing. With a focus on accuracy and efficiency, the agency helps healthcare providers optimize cash flow, enhance revenue integrity, and prioritize patient care...
Top Services:
- BPO
- Location
- South Bend, Indiana
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
The NYC medical billing company is based in New York City, the city of lights and elites. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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
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
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
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
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
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
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
Our mission? To ensure that every client has clear and legible books and records, financial foresight, and the ability to make sound business decisions based on our work product and guidance...
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Prosper, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $60/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Riseup Labs is a global AI-first technology company delivering software, BPO, and CX solutions that help enterprises innovate faster, scale smarter, and grow sustainably. From Bangladesh to the world, we design and build reliable solutions and agentic workflows that drive real outcomes...
Top Services:
- Mobile App Development
- Web Development
- eCommerce Development
- Software Development
- Staff Augmentation
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 6 Projects Listed
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
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
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
- Email Marketing
- SEO
- Digital Marketing
- Social Media Marketing
- Show more
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
We are US-based and woman-owned company. Since 2015 we serve companies in the USA and Canada, providing IT outsourcing, call center, virtual assistance and any remote employee services 24/7. Our multilingual specialist are excellent in English, Spanish, Russian, Chinese, and other popular languages...
Top Services:
- Software Development
- IT Services
- BPO
- Staff Augmentation
- Show more
- Location
- Old Bridge, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
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
Portiva's Virtual Medical Assistant is the No. 1 Provider in the World Today...
Top Services:
- Phone Answering Services
- BPO
- Call Centers
- HR Outsourcing
- Show more
- Location
- Trappe, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Customer service and back-office support services are offered across all available channels by SupportNinja. Our main clients are Silicon Valley-based and international technology startups that receive VC funding. Apps, software, and platform-based technology enterprises that focus on serving consumers depend...
Top Services:
- BPO
- Customer Support
- Location
- Dallas, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Digital Minds BPO services are among the top BPO company in the Philippines offering front office and back office services. They offer various services like customer support, back office support, creative services and technical support. Their global presence and expertise in BPO solutions have earned them a...
Top Services:
- BPO
- Accounting
- Location
- Wilmington, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
Allianze BPO Services- Matchless Support for Your Back-Office Needs...
Top Services:
- BPO
- Software Development
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $3/hr
- Minimal Budget
- $1,000 - $10,000
A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity...
Top Services:
- BPO
- Software Development
- Location
- Newport Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
QuisLex is an award-winning alternative legal services provider that specializes in managed document review, contract management, compliance services, legal spend management, and legal operations consulting...
Top Services:
- BPO
- Business Consulting
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
We build and manage your own dedicated teams of live chat agents, customer support agents, social media support, back-office support, and content translators...
Top Services:
- BPO
- Call Centers
- Location
- West Palm Beach, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Incoho Lead Generation is designed to help companies accomplish this goal without draining internal resources that are better deployed selling. This service maintains a two-step process – the first is researching leads and developing the initial list. The second is to call into the target companies in order...
Top Services:
- BPO
- Big Data Analytics
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Pasquesi Partners provide full-service accounting and tax solutions to tech and agency businesses. Our mission is to help growth-stage businesses manage the comprehensive financials required to turn visions into reality. Like traditional accounting firms, we handle the basics: bookkeeping, payroll, tax...
Top Services:
- BPO
- Accounting
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
A global customer experience (CX) management solutions provider, Startek delivers best-in-class omnichannel CX, digital transformation, virtual receptionist, call and contact center, and enterprise tech services for leading brands, from Fortune 500s to fast-growing startups...
Top Services:
- BPO
- Call Centers
- Location
- Greenwood Village, Colorado
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Medical billing services provided with no contract. We work with all specialties and handle the billing process from beginning to end. Contact us today and maximize revenue...
Top Services:
- BPO
- Software Development
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
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
EZ Settle Solutions is a global innovator in the fields of medical billing & coding services in USA.Get control over coding challenges, billing complexities and optimize Revenue Cycles Reduce claim denials, recover missed revenue and increase cash flow...
Top Services:
- BPO
- Business Consulting
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
Real Assistance provides specialized business consulting and outsourcing services exclusively for real estate professionals. Its experienced consultants, analysts, paralegals, and managers offer affordable support for routine administrative tasks, allowing clients to focus on core business activities. By...
Top Services:
- BPO
- Business Consulting
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Technodream provides high-quality, affordable web development, web design, online marketing, and call center services for businesses in the US, UK, and Australia...
Top Services:
- BPO
- Call Centers
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
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
Hypeify helps startups and high-growth companies scale marketing teams affordably by sourcing top-tier marketing talent from Latin America. We connect you with vetted marketing specialists in social media, paid ads, email, content, design, video, web, and analytics. With flexible plans, full onboarding...
Top Services:
- BPO
- HR Outsourcing
- Location
- Palm Springs, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- 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
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
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
Our relationship with our staff, customers, and other business partners is focused on honesty, perseverance, mutual confidence, and integrity. We help our clients to come up with the right strategy for their business, ensuring that their sales plans are realistic and are able to fulfill their business goals...
Top Services:
- BPO
- Call Centers
- SEO
- Email Marketing
- Digital Marketing
- Show more
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $1,000 - $10,000
Trupp Global: Your Trusted Partner for Back-Office Support and Customer Experience Services...
Top Services:
- BPO
- Customer Support
- Call Centers
- IT Services
- Show more
- Location
- Orlando, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/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
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
Level10 CFO is a new spin on outsourced CFO advisory and accounting services. With an advisory-led, tech-forward approach that always puts your interests first, we brave the crucial conversations to help your business evolve and grow...
Top Services:
- Accounting
- BPO
- Location
- Lakewood, Colorado
- Number of Employees
- Under 49
- 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
- Show more
- 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
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
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
At HomeX, we are a results-driven virtual assistant agency helping businesses across the U.S. and beyond scale faster and operate smarter. Based in Prishtina, Kosovo, we specialize in cold calling, lead generation, and customer support all delivered by trained, English-speaking virtual teams...
Top Services:
- Digital Marketing
- BPO
- SEO
- Social Media Marketing
- PPC
- Show more
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/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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