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.
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
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
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
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
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
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
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
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
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
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
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
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
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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