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

14 Companies - Rankings updated: September 06, 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.

Expertise
Health Care
$10,000 - $25,000
Sort by: Sponsored
United States × Health Care × $10,000 - $25,000 × Clear Filters

  • Helpware

    End-to-end CX solutions that delight customers.

    Make customer experience your strongest competitive advantage. CX forms the beating heart of Business Process Management, delivering success by boosting customer retention and ensuring less costly, more efficient operations...

    Top Services:

    • Customer Support
    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Show more
    Location
    Lexington, Kentucky
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    17 Projects Listed

    Helpware Services

    • Customer Support
    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • DoorDash
    • PureCars
    • Headspace
    • Microsoft
    • Google
    • CompIQ
    • Samsara
    • Jam City
    • RestoraPet
    • HealthComp
    Data sourced from the agency's DesignRush profile

    Helpware Reviews & Testimonials

    • Maria Maidana
      Maria Maidana Customer Onboarding & Enablement Manager at SquadLocker, Inc
      5.0 ★

      Customer Support Review from Maria Maidana

      Helpware has been a trusted partner for SquadLocker for several years now for customer success. Our Customer Onboarding Team continues to shine through every administrator that interacts via our Live Chat channel for store help. Anzhelika is my Onboarding Lead and we work hand in hand in making any and all decisions for team enhancements. She delights both DIY and Enterprise administrators across multiple channels here at SquadLocker. I would not be as successful without Anzhelika by my side. I forsee using Helpware for years to come!

    • Brian Agee
      Brian Agee Director of Sales & Marketing at Petro Towery
      5.0 ★

      Web Design Review from Brian Agee

      My organization contracted with Helpware for a complete website design and build. I am extremely happy with the finished product and continually receive positive feedback from customers, vendors, and employees. The Helpware team was very professional throughout the entire process and did an incredible job keeping the project on time and on budget. Communication was also great and I really appreciated their consultative approach. I would recommend without hesitation.

    • Brian Lubeck
      Brian Lubeck Broker at Cypress Property Group
      5.0 ★

      Virtual Assistant Review from Brian Lubeck

      Over the past five years, I've had the privilege of partnering with Helpware, and my experience has been nothing short of exceptional. Their commitment to efficiency and cost-effectiveness has consistently impressed me. Whether you're a startup or an established enterprise, Helpware offers tailored virtual assistant solutions that work well with any company. I highly recommend them to anyone looking to hire a virtual assistant.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.6 4.6 (3)
    4.3 4.3 (6)

  • Martal Group

    Your On-Demand Sales Team

    Martal Group is an award-winning B2B lead generation and sales agency specializing in scaling tech businesses. Since 2009, our top-performing sales executives have been instrumental in generating qualified leads for over 2,000 B2B organizations, ranging from startups to Fortune 500 companies...

    Top Services:

    • Email Marketing
    • Digital Marketing
    • Social Media Marketing
    • BPO
    • Digital Strategy
    • Show more
    Location
    San Francisco, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $45/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    5 Projects Listed

    Martal Group Services

    • Email Marketing
    • Digital Marketing
    • Social Media Marketing
    • BPO
    • Digital Strategy
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Clickworker.com
    • Incentives-Solutions.com
    • Semasio.com
    • Kipod.com
    • Favendo.com
    • Weezmo.com
    • Intech-Global.com
    • NemoNano.com
    • Indoorgo.com
    • Vidmind.com
    Data sourced from the agency's DesignRush profile

    Martal Group Reviews & Testimonials

    • Nidhi Jaiswal
      Nidhi Jaiswal Marketing Executive at Social Frontier
      5.0 ★

      Marketing Review from Nidhi Jaiswal

      From the very start, their team was very professional, communicated in a timely manner, and was very familiar with B2B lead generation. We were just surprised at their team culture and their desire to work hand-in-hand with our team. It felt like they were not an external vendor but a true partner in all respects. Throughout our working time together, Martal always produced excellent work while keeping us informed and engaged. They are solution-oriented, proactive, and willing to share ideas that enhance performance. It is not often that you find a team that is so concerned about your success. What we value most is their honesty and commitment to building something that will last. They don't seek quick wins but work to build outcomes that last and can potentially expand. With their experience combined with a well-structured plan, they are a reliable and outcome-driven collaborator. If you need to reach more customers and you would like to have a company that is concerned about your success, you can rely on Martal Group. We highly recommend that you use their services.

    • Anas Aftab
      Anas Aftab Outreach Manager at Get Pro Links
      5.0 ★

      Digital Marketing Review from Anas Aftab

      Working with Martal Group has been an absolute pleasure. Their team is collaborative and transparent and consistently delivers on their commitments with professionalism and expertise. From the start, it was clear they are passionate about building meaningful and lasting business relationships. What stands out most is their willingness to go above and beyond. Whether its sharing valuable insights, offering timely support, or simply being approachable and helpful, Martal Group has proven to be a reliable partner. Their depth of knowledge in the B2B space, paired with a genuine dedication to helping businesses grow, makes them a standout organization. If you're looking for a team that values collaboration, transparency, and long-term success, Martal Group is an excellent choice.

    • Doug McLean
      Doug McLean VP of Global Sales and Channels at Complete EDI
      5.0 ★

      Call Centers Review from Doug McLean

      Martal Group was able to facilitate Complete EDI’s first ever outbound lead generation efforts in the company’s history. Following the onboarding process, Martal was able to deliver 2 sales-qualified leads within the second week of campaigns and by the end of the 3 month pilot period had 14 sales-qualified leads.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.8 4.8 (6)
    4.1 4.1 (23)

  • Offshore India Data Entry

    Offshore Data Entry Service: Precision, Speed and Security

    Top Offshore BPO company...

    Top Services:

    • BPO
    • Accounting
    • Customer Support
    • Market Research
    • Web Design
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    100 - 249
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    4 Projects Listed

    Offshore India Data Entry Services

    • BPO
    • Accounting
    • Customer Support
    • Market Research
    • Web Design
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • allianze bpo
    • nexgen
    • india data entry
    Data sourced from the agency's DesignRush profile

    Offshore India Data Entry Reviews & Testimonials

    • Lisa Rozario
      Lisa Rozario Marketing Manager at D.E Exports LLC
      5.0 ★

      Document Digitization Review from Lisa Rozario

      We approached offshore data entry for our data entry process. They adeptly transformed our process. An excellent and efficient team, delivering quality work on time. I recommend Offshore India Data Entry for data entry requirements.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.3 4.3 (1)

  • Offshore Online

    Offshore Online Data Entry

    Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently...

    Top Services:

    • BPO
    Location
    Bergenfield, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000

    Offshore Online Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • IT Industry
    • Retail Industry
    • Financial Industry
    Data sourced from the agency's DesignRush profile
    Visit Website View Profile

  • IDS Healthcare

    AI-Driven Revenue Cycle Management Services

    IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management...

    Top Services:

    • BPO
    Location
    New York City, New York
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $10,000 - $25,000

    IDS Healthcare Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Wellness & Fitness Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile
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  • Pro MBS LLC

    Get Back to What Matters Weve Got the Solution

    Get Professional Medical Billing and Coding Services that eliminate headaches and maximize your Revenue. Let us handle the complexity while you concentrate on delivering exceptional care...

    Top Services:

    • BPO
    Location
    Webster, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000

    Pro MBS LLC Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Whole Health Professional PLLC
    • Colorado Chiropractic Center (Colorado)
    • South Main Clinic
    • Bird Dog Pharma
    Data sourced from the agency's DesignRush profile
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  • Quantum Health Services

    A Partner That Values Your Financial Health

    At Quantum Health Services, we simplify the process of finding the best medical billing services tailored to your practice. Our platform connects healthcare providers with top-rated billing specialists to ensure efficient revenue cycle management. With seamless inquiry forms and expert support, we help you...

    Top Services:

    • BPO
    Location
    Albuquerque, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000

    Quantum Health Services Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • ModMed
    • MedGen
    • CureMD
    • Azalea Health
    Data sourced from the agency's DesignRush profile
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  • Mediknocx

    Your Patients. Our Billing Expertise

    Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...

    Top Services:

    • BPO
    Location
    Franklin Square, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

    Mediknocx Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Wellness & Fitness Industry
    • Dental Industry
    Data sourced from the agency's DesignRush profile
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    4.5 4.5 (2)

  • Etech

    Growth Through Servant Leadership

    Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Business Consulting
    • Show more
    Location
    Nacogdoches, Texas
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $45/hr
    Minimal Budget
    $10,000 - $25,000

    Etech Services

    • BPO
    • Call Centers
    • Customer Support
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Fintech Industry
    • Retail Industry
    • Hospitality Industry
    Data sourced from the agency's DesignRush profile

    Etech Reviews & Testimonials

    • Haley E C
      Haley E C Review from Google
      1.0 ★

      Haley E C's Review Sourced from Google

      If only I had something nice to say but mom always said if you can't say nothing nice don't say nothing at all.

    • Charles Symmonds
      Charles Symmonds Review from Google
      1.0 ★

      Charles Symmonds's Review Sourced from Google

      This company operates in violation of the law, calling numbers registered on the national DO NOT CALL list. The fact that people bother to register should be indication enough that your telemarketing calls are unwelcome. This is not the sign of a reputable company you should consider partnering with.

    • rahil jain
      rahil jain Review from Google
      1.0 ★

      rahil jain's Review Sourced from Google

      Scammers! The person calling posed as Customer Service representative for my ISP. I had recently placed an order with my ISP and the caller knew about it. The person demanded that I pay the entire amount now otherwise the order wouldn't process. I argued saying that the rep yesterday said I don't have to pay until the service gets started. To which he replied that that's not how it works and I have to pay now otherwise they will sue me. I said call me back in half an hour and I will have my payment information ready. I didn't answer when I got the call back.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    3.3 3.3 (63)

  • Data-Entry-India.com

    Powering Business Intelligence with AI-Driven Data Support

    Data-Entry-India.com is a global Data & AI operations partner. Serving 3,850+ clients across 50+ countries, we specialize in enterprise data operations, AI training data services, digital commerce data support, data research and intelligence services, and document and content-related support...

    Top Services:

    • Big Data Analytics
    • BPO
    • AI Development
    • Managed Services
    • Business Consulting
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000

    Data-Entry-India.com Services

    • Big Data Analytics
    • BPO
    • AI Development
    • Managed Services
    • Business Consulting
    • Market Research
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Pepsico
    • Expedia
    • Nielzen
    • Corzen
    Data sourced from the agency's DesignRush profile

    Data-Entry-India.com Reviews & Testimonials

    • Alex M.
      Alex M. Business Analyst at eCommerce Company
      5.0 ★

      Data Entry Review from Alex M.

      Our team was overwhelmed with the large volume of raw data we had to process daily. Data-Entry-India.com stepped in and alleviated this burden by efficiently and quickly processing this data into a structured format. By taking care of data cleaning and validation, their team allowed us to focus on core tasks involving data analysis and decision-making, significantly boosting our productivity.

    • Carlos R.
      Carlos R. CEO at Travel Startup
      5.0 ★

      Data Entry Review from Carlos R.

      We needed a reliable service provider who could scrape travel deals data from various websites for our company. We are glad that someone recommended Data-Entry-India.com to us. Their team understood our requirements and provided us with structured and accurate data from specified web sources. Their expertise in handling complex scraping projects has made a significant impact on our operations.

    • James P.
      James P. Project Manager at Tech Company
      5.0 ★

      Data Entry Review from James P.

      We needed thousands of street photos labeled for our self-driving car project. The team of Data-Entry-India.com provided us with high-quality labeled datasets by annotating over 5000 images on CVAT in half the time we expected. Their work helped us improve the accuracy of our object detection algorithm significantly.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.6 4.6 (3)

  • 1840 & Company

    The World's Top Talent for Remote Teams!

    1840 & Company is a global provider of talent and team solutions devoted to empowering businesses with scalable, on-demand workforce solutions. With a stringent verification procedure and a network of professionals in 150 countries, we connect organizations with remote talent of the highest caliber. Our...

    Top Services:

    • BPO
    • Staff Augmentation
    • HR Outsourcing
    • Customer Support
    • Call Centers
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000

    1840 & Company Services

    • BPO
    • Staff Augmentation
    • HR Outsourcing
    • Customer Support
    • Call Centers
    • Transcription Services
    • Translation Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Groupon
    • Isango
    • Instacart
    • HomeLight
    • LearnZillion
    Data sourced from the agency's DesignRush profile

    1840 & Company Reviews & Testimonials

    • carmen noche
      carmen noche Review from Google
      5.0 ★

      carmen noche's Review Sourced from Google

      It was a very productive and swift process. Starting from the interview, to assessments. Everyone was punctual and need not wait for a week or so for updates. They give updates immediately no need for the long wait and suspense. Keep it Up!!

    • lucille Mrrs
      lucille Mrrs Review from Google
      5.0 ★

      lucille Mrrs's Review Sourced from Google

      My experience with 1840 & Company’s recruitment process has been excellent from start to finish. The team was professional, responsive, and supportive throughout every step. Communication was always clear, and I truly appreciated how smooth and organized the process was. I felt valued as a candidate, and I’m very excited to officially join as a Patient Support-CSR. Thank you to the team for making this such a positive experience!

    • Andrea Yáñez
      Andrea Yáñez Review from Google
      5.0 ★

      Andrea Yáñez's Review Sourced from Google

      I had a truly outstanding experience with 1840&Co throughout the entire recruitment process. From the very beginning, their team demonstrated professionalism, clear communication, and genuine care. What stood out most was the consistent follow-up—they kept me informed at every step, making the process feel smooth and well-organized. I always felt supported and valued as a candidate. I’m incredibly happy to share that I’ve been offered a new role, and I couldn’t be more grateful to the 1840&Co team for making it all possible.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.8 4.8 (188)

  • Murkez Technologies

    Expert Guidance for Sustainable Growth

    We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...

    Top Services:

    • eCommerce Development
    • Web Development
    • Digital Marketing
    • Software Development
    • Managed Services
    • Show more
    Location
    Sugar Land, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

    Murkez Technologies Services

    • eCommerce Development
    • Web Development
    • Digital Marketing
    • Software Development
    • Managed Services
    • Accounting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Insurance Industry
    • Real Estate Industry
    Data sourced from the agency's DesignRush profile
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  • Profusion Systems

    Turning Ideas Into Apps | Your Vision, Our Innovation

    Profusion Systems is a leading mobile application and software development agency that turns creative concepts into innovative, user-friendly solutions. Founded in 2012, the agency specializes in custom software, cloud migration, and chatbot development, catering to mid and large-sized businesses. With a...

    Top Services:

    • Software Development
    • Cloud Consulting
    • Mobile App Development
    • Web Development
    • Software Testing
    • Show more
    Location
    Downers Grove, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    $10,000 - $25,000

    Profusion Systems Services

    • Software Development
    • Cloud Consulting
    • Mobile App Development
    • Web Development
    • Software Testing
    • DevOps Consulting
    • BPO
    • Customer Support
    • eCommerce Development
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Fintech Industry
    • Not for profit Industry
    • Food Industry
    Data sourced from the agency's DesignRush profile

    Profusion Systems Reviews & Testimonials

    • Chirag Shah
      Chirag Shah Review from Google
      5.0 ★

      Chirag Shah's Review Sourced from Google

      Working here has been a really positive experience for me. I’ve got the chance to learn new things, take ownership of my work, and collaborate with some genuinely supportive colleagues. The environment is professional yet friendly, and I feel like my ideas are valued. Of course, like any company there are challenges, but overall it has helped me grow both personally and professionally.

    • Ajay Nagwan
      Ajay Nagwan Review from Google
      5.0 ★

      Ajay Nagwan's Review Sourced from Google

      I am currently working at Profusion, and it's been a great experience so far. The work environment is positive and collaborative, and I’ve had the opportunity to learn and grow professionally. The team is supportive, and my manager/boss is always approachable and encouraging, which makes a big difference. I also appreciate the company’s focus on quality, innovation, and continuous improvement. It’s a great place to build a strong career in the IT industry.

    • SUTHAR JIGAR
      SUTHAR JIGAR Review from Google
      5.0 ★

      SUTHAR JIGAR's Review Sourced from Google

      Profusion Systems is a great place to work with a positive and collaborative environment. The company provides excellent learning opportunities and supports career growth. and work-life balance is well maintained.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    5.0 5.0 (4)

  • Cognic Systems

    Transform Your Business With Artificial Intelligence

    Cognic Systems, your trusted Digital Transformation Enabler! At Cognic, we are committed to driving innovation and excellence as we embark on a transformative journey together. Our expertise in Mobile app development, Software solutions, Robotic process automation (RPA), MS Power Plateform and digital...

    Top Services:

    • Software Development
    • AI Development
    • Digital Marketing
    • Mobile App Development
    • BPO
    • Show more
    Location
    Cedar Park, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

    Cognic Systems Services

    • Software Development
    • AI Development
    • Digital Marketing
    • Mobile App Development
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Munshijee
    • Allova Solutions
    • HTC
    Data sourced from the agency's DesignRush profile

    Cognic Systems Reviews & Testimonials

    • Shraddha Mirajkar
      Shraddha Mirajkar Review from Google
      4.0 ★

      Shraddha Mirajkar's Review Sourced from Google

      It has been my absolute pleasure working at Cognic as a BA. Cognic exceptionally strives in bringing out the best in every team member. Where efforts are not only bound to be recognised but also appreciated! Indeed a great place to grow on both professional as well as personal fronts!!

    • Hradayesh Roy
      Hradayesh Roy Review from Google
      5.0 ★

      Hradayesh Roy's Review Sourced from Google

      IT is all about you problem being solved with the right technology and they know how to do it. A big team with a great experience in Information technology and softwares.

    • Simantika Priyadarsini
      Simantika Priyadarsini Review from Google
      5.0 ★

      Simantika Priyadarsini's Review Sourced from Google

      It's a new start up company with good business opportunity. It's employee friendly organisation with good hr culture . It's giving employment opportunities to the local talented youth giving a new ray of hope for start ups at Jabalpur.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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    4.6 4.6 (33)

BPO Companies by City

BPO Companies by State

BPO Specializations in the US

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Hiring Guide: How to Choose the Best BPO Service Providers in the US

How to choose the right BPO company for your business needs?

To choose the best company for your business needs:

  • Define the processes you want to outsource and the outcomes you expect.
  • Evaluate industry experience and relevant case studies.
  • Compare pricing models, contract terms, and scalability.
  • Review SLAs, security standards, and compliance requirements.
  • Assess communication, reporting cadence, and account management.
  • Verify reviews, client retention, and long-term performance history.

If you need help finding a US BPO company, you can submit your project requirements through the DesignRush Marketplace and receive a free shortlist of providers that match your scope, budget, and business needs.

What criteria should be used to compare BPO companies in the USA?

To compare a BPO company with another, businesses should evaluate:

  • Service scope and industry specialization, since 42% of organizations outsource to gain better access to talent and 20% to access new capabilities.
  • Pricing models and cost transparency, as 34% cite spend optimization as a primary driver for outsourcing.
  • Proven results, case studies, and client reviews, with 33% prioritizing improved quality and performance.
  • Service level agreements, KPIs, and reporting standards, driven by rising customer expectations, reported by 35% of organizations.
  • Data security, compliance, and risk management, as 19% outsource in response to an evolving risk landscape.
  • Scalability and team structure, aligned with the need for flexible and scalable talent models cited by 23% of businesses.
  • Communication and governance model, supporting better alignment to business strategy and operating model changes, noted by 27% of organizations.

What questions should you ask before hiring a BPO company?

Before hiring a United States BPO provider, businesses should ask:

Relevant Background

  1. What are the most notable BPO case studies you’ve delivered, and what results were achieved?
  2. Which industries and business functions do you specialize in?
  3. What types of processes do you have the strongest operational track record in?

Services and Processes

  1. Which processes would you manage, and how are they structured operationally?
  2. How do you handle onboarding, knowledge transfer, and process documentation?
  3. What does quality control and ongoing optimization look like?

Relevant to Your Project

  1. Which team members will support our account, and what relevant experience do they bring?
  2. How do you scale teams as demand, volume, or seasonality changes?
  3. What is the expected timeline from onboarding to full delivery?

What outcomes should businesses expect?

When partnering with a top BPO provider in the US, businesses can expect:

  • Lower operating costs versus in-house teams, with cost reduction and efficiency now baseline expectations, as 35% of GBS organizations strongly agree.
  • Improved efficiency and productivity, with 49% of organizations reporting measurable effort reduction.
  • Increased throughput, as 45% of companies report doing more with the same or fewer resources.
  • Access to specialized expertise and new capabilities, cited by 29% of businesses.
  • Scalable operations that adjust to demand, seasonality, and growth.
  • Consistent service quality tracked through SLAs, KPIs, and performance reporting.
  • Greater internal focus on core and revenue-driving activities.

What KPIs will define the success of a BPO partnership?

The success of a BPO partnership is typically defined by KPIs such as:

  • Service level attainment, including response time, resolution time, and accuracy.
  • Cost savings versus in-house operations.
  • Productivity metrics such as volume handled per agent or per hour.
  • Quality and compliance rates, including error reduction and audit results.
  • Customer satisfaction scores such as CSAT or NPS.
  • Revenue impact for sales, retention, or collections-focused engagements.

How to find the best BPO companies in the USA on DesignRush?

DesignRush curates top BPO companies in the USA across budget levels, helping businesses find the right provider based on scope, industry, and spend:

High budget: $50,000+
  • Hugo
  • SupportYourApp
  • MKC Agency
Low budget: $25,000-$50,000
  • Wiserbrand
  • Martal Group
  • Profusion Systems

 

Why People Trust DesignRush

Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding BPO companies in the USA. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.

DesignRush rating logos on Trustpilot and Google

Learn more about DesignRush Agency Ranking Methodology.

Sources

DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:

  • Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
  • The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.

Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.

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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