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
2 Companies-Rankings updated: September 07, 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.
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
Auxis Services
Big Data Analytics
IT Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
OSP Labs Services
AI Development
Software Development
IT Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Google Health
Azure
Cinderella
Voi Health
Lance
Home Health Pro
Data sourced from the agency's DesignRush profile
OSP Labs Reviews & Testimonials
David Frank
Review from Google
5.0★
David Frank's Review Sourced from Google
I am writing this review to express my utmost satisfaction with the exceptional service provided by OSP Labs . I had the opportunity to work with them on the development of a healthcare digital platform, and their level of professionalism and dedication were simply unparalleled.
From the inception of the project, the team demonstrated a comprehensive understanding of our goals and vision. They showed top-tier expertise in healthcare software development, employing innovative strategies to design a platform that was both user-friendly and robust in its functionalities.
One of the most impressive aspects of our collaboration was their commitment to consistent communication and support. The team was always readily available to address any queries or issues that surfaced during the development process. This open line of communication went a long way in ensuring that the project progressed smoothly and efficiently.
Reviews verified by DesignRush and sourced from the agency's profile
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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?