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 × $50,000 & Up ×
  • Healthcare Medical Billing Solutions in USA | CareMedix

    Looking for new healthcare medical billing solutions? Dive into our essential guide for inclusive strategies and tips with CareMedix...

    Top Services:

    • BPO
    Location
    Henderson, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    1 Project Listed
  • Transforming Businesses With Innovative Technology

    GlowTouch specializes in customer service outsourcing, helping clients improve retention and enhance brand loyalty through first-contact issue resolution. Its agents become experts on the client's business, turning customer care into a revenue center while its technical talent supports in-house information...

    Top Services:

    • BPO
    Location
    Louisville, Kentucky
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $49/hr
    Minimal Budget
    $50,000 & Up
  • Your Billing Partner In Better Healthcare

    Healthcare Billing Services provides reliable medical billing and revenue cycle management solutions designed to help healthcare providers get paid accurately and on time. We reduce administrative workload, improve reimbursement rates, and ensure compliant billing so providers can focus on patient care...

    Top Services:

    • BPO
    Location
    Maryland Heights, Missouri
    Number of Employees
    Under 49
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $50,000 & Up
  • Expert Infusion Billing That Helps Your Practice Get Paid Faster

    Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...

    Top Services:

    • BPO
    Location
    Sheridan, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $70/hr
    Minimal Budget
    $50,000 & Up
  • Your career growth, handled by real humans.

    Scale.jobs is a human-powered job application service where real assistants apply to jobs for you with ATS-friendly resumes, custom cover letters, and LinkedIn support. Personalized, not automated. Your career growth, handled by real humans...

    Top Services:

    • BPO
    Location
    Woodstock, Georgia
    Number of Employees
    50 - 99
    Minimal Budget
    $50,000 & Up
  • Top Trusted Medical Billing Company In USA

    eClaim Solution is a leading provider of healthcare billing services in the USA, helping medical practices simplify their revenue operations with accuracy and compliance. Our team specializes in end-to-end revenue cycle management services that ensure faster payments, reduced denials, and consistent...

    Top Services:

    • BPO
    • Business Consulting
    • ECM Consulting
    Location
    Lewes, Delaware
    Number of Employees
    100 - 249
    Minimal Budget
    $50,000 & Up
  • Efficient Outsourcing for Global Success

    Redial BPO delivers top-tier business process outsourcing (BPO) solutions focused on cost reduction and cultural alignment. Established in 2017, the firm operates across four locations in Mexico and South Africa, offering significant savings and advanced technology. Its nearshore and offshore services provide...

    Top Services:

    • Call Centers
    • BPO
    Location
    San Diego, California
    Number of Employees
    500 - 999
    Minimal Budget
    $50,000 & Up
  • minubo offers the only complete out-of-the-box BI solution and analytics services for brands and retailers in omnichannel commerce. With our highly standardized and proven solution, we offer unprecedented time-to-operation and insights for every business user at our clients. Supported by our experienced...

    Top Services:

    • eCommerce Development
    • BPO
    • Email Marketing
    Location
    Boston, Massachusetts
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $50,000 & Up
  • Boost Your Business Beyond Limits

    Auxis is a leading management consulting and outsourcing firm specializing in AWS consulting. We help senior executives achieve peak performance in their back office by providing services such as Nearshore Outsourcing, Cloud Computing, Shared Services, RPA, Help Desk & Desktop Support, and Finance &...

    Top Services:

    • Big Data Analytics
    • IT Services
    • BPO
    Location
    Fort Lauderdale, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $75/hr
    Minimal Budget
    $50,000 & Up
  • We Focus On Customer Service So You Can Focus On Your Business.

    Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...

    Top Services:

    • Business Consulting
    • Call Centers
    • BPO
    • Phone Answering Services
    • Show more
    Location
    Sioux Falls, South Dakota
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $50,000 & Up
  • Your Story. Our Publishing Expertise.

    House of Publisher provides expert article writing services with original, SEO-friendly, and well-researched content for every industry...

    Top Services:

    • Digital Services
    • Branding
    • Graphic Design
    • Audio Production
    • SEO
    • Show more
    Location
    Hoboken, New Jersey
    Number of Employees
    250 - 499
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    1 Project Listed
  • Digital Intelligent Solutions

    OSP is a healthcare technology company dedicated to transforming the industry through innovative digital solutions. With more than 16 years of experience and a team of skilled healthtech experts, OSP helps healthcare organizations improve performance, efficiency, and patient care through advanced technology...

    Top Services:

    • AI Development
    • Software Development
    • IT Services
    Location
    San Diego, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up
  • Driven by Excellence

    iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...

    Top Services:

    • Accounting
    • BPO
    • Business Consulting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Raleigh , North Carolina
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up

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
129,105+
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
13

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