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.

United States × Software & IT Services × $50,000 & Up × Clear Filters
  • 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

    Auxis Services

    • Big Data Analytics
    • IT Services
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Aspen Dental
    • BrandsMart U.S.A.
    • Coveris
    • DHL
    Data sourced from the agency's DesignRush profile
  • 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

    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
      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 View All Reviews

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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