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.
Valerion Health is a U.S.-based healthcare outsourcing agency that partners with hospitals, physician groups and clinics to optimize revenue cycle management through medical coding, billing, auditing and telemedicine support. Blending innovative solutions with deep industry experience, Valerion empowers...
Top Services:
- BPO
- Location
- Palm Harbor, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $25,000 - $50,000
A global provider of innovative contact center and BPO solutions specializing in inbound and outbound services for B2B and B2C clients. The agency enables businesses to focus on their core competencies while delivering seamless operational support to drive growth and efficiency...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $25,000 - $50,000
Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary...
Top Services:
- BPO
- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Web Design
- Show more
- Location
- Austin, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
We are a team of experienced professionals with an outstanding expertise in various fields...
Top Services:
- Software Development
- Web Design
- eCommerce Development
- Web Development
- IoT
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 6 Projects Listed
Congruent Solutions has been a specialist technology solutions and outsourced plan administration provider to the retirement industry since 2004...
Top Services:
- Business Consulting
- Cloud Consulting
- AI Development
- BPO
- Show more
- Location
- Canada, Kentucky
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $25,000 - $50,000
Mysoft Heaven (BD) Ltd. is a Top Software Development Company with 15+ years of excellence. We specialize in enterprise-grade solutions like ERP, FinTech, e-Governance, and HRMS (HR Sheba). Our scalable SaaS platforms and Cyber Security solutions empower global organizations...
Top Services:
- Web Development
- Digital Marketing
- Mobile App Development
- Software Development
- Staff Augmentation
- Show more
- Location
- Miami, Florida
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $25,000 - $50,000
KnowCode, a unit of DigitalSquad LLC, provides web development, mobile app development, custom software, UI/UX design, branding, and digital marketing solutions to help businesses strengthen their digital presence and achieve growth...
Top Services:
- Digital Services
- WordPress Website Design
- SEO
- Software Development
- CRM Consulting
- Show more
- Location
- Georgia, Vermont
- Number of Employees
- Under 49
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $25,000 - $50,000
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
Popular Services
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
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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