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.
Vserve Ebusiness Solutions
VerifiedVerified by the DesignRush team for authenticity and credibility.Vserve Ebusiness Solutions is an AI-powered Supply Chain Management and Ecommerce company with 10+ years of global delivery. We provide offshore teams, BPO, procurement, order and inventory management, customer support, and ecommerce solutions to reduce costs and improve efficiency...
Top Services:
- Logistics
- Accounting
- eCommerce Development
- BPO
- Call Centers
- Show more
- Location
- New York City, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Top Notch Backoffice Service Provider...
Top Services:
- BPO
- Location
- Chicago, Illinois
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $2/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
For over six decades, Call Management Resources has been a trusted provider of answering services and call center solutions. Get in touch with us today!...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Location
- Columbus, Ohio
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
RCM Matter is a top Revenue Cycle Management company that offers a comprehensive product of fully integrated clinical, revenue cycle, credentialing, medical billing & coding, practice management solutions, coding transcription, and data management...
Top Services:
- BPO
- Location
- Glendale, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Ask Datatech provides quality Data Entry Service, Data Management Services, Email database creating for email marketing/Lead Generation, Magento & E-commerce Product Upload Services, Data Conversion Services, CV/Resume Formatting, Data Processing, Web Scrapping , Data Capture and Data Scrapping...
Top Services:
- Market Research
- BPO
- Software Development
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Peak Support stands as a dynamic and forward-moving provider of outsourced customer support services, driven by an unwavering commitment to furnishing unparalleled assistance to rapidly expanding enterprises...
Top Services:
- Customer Support
- BPO
- Location
- Cambridge, Massachusetts
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
- Portfolios Count
- 6 Projects Listed
The Medicator's stands as a pioneering and premier provider of medical billing and revenue cycle management services catering to individual practices, group practices, and hospitals...
Top Services:
- BPO
- Location
- Naperville, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Leadium is a US-based B2B outbound SDR agency running cold email, cold calling, and LinkedIn programs for companies that need qualified pipeline without building an in-house team. Boutique model. 100% US-based execution. Founder-led delivery on every account...
Top Services:
- Email Marketing
- BPO
- CRM Consulting
- Business Consulting
- Direct Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Billing MedTech streamlines medical billing with tech-powered solutions that boost revenue, reduce denials, and simplify RCM. Supporting 80+ practices across 35+ specialties, we help healthcare providers focus on patient care while we handle billing with accuracy, transparency, and speed...
Top Services:
- BPO
- Location
- Texas City, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...
Top Services:
- BPO
- Transcription Services
- Business Consulting
- Accounting
- AI Development
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 12 Projects Listed
Enfinity Medical Billing is a healthcare revenue cycle management company that helps organizations maximize revenue and streamline operations through medical billing, transcription, credentialing, auditing, and consultation services...
Top Services:
- BPO
- Location
- East Brunswick, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Hire Live Support is a full-scale BPO service provider and a digital marketing company with 10+ years clientele and preparedness. We specialize in providing the leading live support services and new-age digital marketing gigs to SMEs, Enterprises, and Startups to delegate, scale, and manage business...
Top Services:
- Call Centers
- BPO
- Web Design
- Web Development
- SEO
- Show more
- Location
- Cerritos, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $5/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 16 Projects Listed
Total Quality Call Center is a One-stop Shop for all of your business needs. We are known for quality services with highest level of professionalism. Our Team is up for every job, managing different projects as we provide affordable business registration, business planning, CRM or Software setups and...
Top Services:
- Business Consulting
- Branding
- Logo Design
- BPO
- HR Outsourcing
- Show more
- Location
- Sioux Falls, South Dakota
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 15 Projects Listed
MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...
Top Services:
- Call Centers
- Phone Answering Services
- Customer Support
- Business Consulting
- BPO
- Show more
- Location
- Miami, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 4 Projects Listed
Nicoya Tech is a U.S.-based outsourcing and digital services agency that helps businesses reduce operational costs by 30% to 60% through offshore solutions. Specializing in BPO services such as customer support, data processing, and back-office operations, Nicoya Tech also offers web development and digital...
Top Services:
- BPO
- Customer Support
- Location
- Orlando, Florida
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Avant Tech is an Innovation driven company operating in the US, Nigeria and the Philippines, We specialize in the recruitment of international across countries and carry our Business Process Outsourcing Services...
Top Services:
- BPO
- IT Services
- HR Outsourcing
- Managed Services
- Mobile App Development
- Show more
- Location
- Peachtree City, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/hr
- Minimal Budget
- Under $1,000
myVA360 provides on-going, on-demand support for businesses of all sizes. Get matched with a dedicated virtual assistant with a wide range of skills, for a fraction of the cost of hiring an employee...
Top Services:
- BPO
- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $24/hr
- Minimal Budget
- Under $1,000
Virtual Mojoe is a one-stop solution to hiring the best virtual assistants online, who help you with all those mundane and daunting tasks so that you can achieve more by doing less and what matters most!...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Dental Billing Experts | Claims, AR Recovery & Revenue Cycle Support for U.S. Practices...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Ecomva provides virtual assistant services and e-commerce SEO services to help businesses grow online. Our team of experienced virtual assistants can help you with a variety of tasks, including customer service, social media management, email marketing, and more...
Top Services:
- BPO
- eCommerce Development
- Digital Marketing
- Web Design
- Show more
- Location
- Fremont, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
ExpertCallers is a global BPO partner with 20+ years' experience, delivering inbound/outbound call centers, customer support, and back-office services worldwide, powered by AI-assisted workflows and Lean Six Sigma-driven quality standards for measurable, reliable outcomes...
Top Services:
- Call Centers
- Creative Services
- eCommerce
- BPO
- Customer Support
- Show more
- Location
- Princeton, New Jersey
- Number of Employees
- 500 - 999
- Minimal Budget
- Under $1,000
- Portfolios Count
- 4 Projects Listed
Transcure Medical Billing Services offers nationwide medical billing, focusing on accurate coding, timely claims, and reducing denials. We help small and specialty practices streamline billing, improve reimbursements, and maintain financial stability, so you can focus on patient care...
Top Services:
- BPO
- AI Development
- Location
- Farmers Branch, Texas
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
Our services provide you with a well-structured analysis that will help you make an informed choice. Virtual Assistant services from the United States fully comprehend, support, and operate in accordance with your needs...
Top Services:
- BPO
- Location
- Perth Amboy, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...
Top Services:
- BPO
- Location
- Lansdale, Pennsylvania
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
Physician Billing Company ensures 99.5% collection of your billed revenue. Serving in 48 states, we are helping independent physicians & practices increase their practice revenue by up to 30%...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
We are one of the leading laboratory billing service and AR recovery services providers in the United States. We offer a comprehensive suite of profitable lab revenue cycle management...
Top Services:
- BPO
- Location
- Williamsport, Pennsylvania
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
NewTech RCM Solutions is a leading healthcare outsourcing service provider offering comprehensive revenue cycle management solutions and other customized services to healthcare providers throughout Nashville, TN and beyond. Our team of experts has years of experience in Durable Medical Equipment DME billing...
Top Services:
- BPO
- Location
- Gallatin, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
We are a dedicated team committed to providing our clients with a fully transparent end-to-end solution. Elevate your revenue cycle with our efficient services, available at rates as competitive as 3.99% of the collection. Our dedicated team is driven by the objective of delivering a comprehensive end-to-end...
Top Services:
- BPO
- Location
- Columbia Heights, Minnesota
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $1/hr
- Minimal Budget
- Under $1,000
We are a full-service dental billing organization with 1,000+ professional billers and coders across the U.S., helping dental practices boost revenue, cut costs, and focus on patient care...
Top Services:
- BPO
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing, accurate coding, efficient submissions, denial management, centralized billing, in-depth analytics, and secure...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Wise Medical Billing is a U.S.-based revenue cycle management (RCM) firm that provides end-to-end billing, coding, AR recovery, credentialing and denial management services. Their certified coders and IT-driven team help healthcare practices maximize reimbursement, reduce administrative burden, and streamline...
Top Services:
- BPO
- Location
- Newark, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Contasks is a trusted virtual assistant and back-office outsourcing provider. Originally serving transportation companies, we now support a wide range of industries from eCommerce to healthcare. Our mission is simple: cut costs, streamline operations, and help your business grow with confidence...
Top Services:
- BPO
- Location
- Dublin, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Boost revenue cycle management with Medmax Technologies LLC, a trusted us-based medical billing company. Get faster claims and higher reimbursements...
Top Services:
- BPO
- Location
- Flower Mound, Texas
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock...
Top Services:
- BPO
- Location
- Lexington, Massachusetts
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims...
Top Services:
- BPO
- Location
- Hillside, New Jersey
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
U Control Billing offers professional medical coding services that ensure accurate CPT, ICD-10, and HCPCS coding for healthcare providers. Our certified coders help reduce claim denials, maintain compliance, and improve reimbursement by translating clinical documentation into precise, billable codes that...
Top Services:
- BPO
- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Connexus Cure is the medical billing company in United States helps healthcare practices get paid faster, reduce denials, and maximise revenue through expert medical billing & rcm services...
Top Services:
- BPO
- Location
- Branchburg, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements...
Top Services:
- BPO
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Claim n Billing specializes in medical billing services that optimize revenue cycles and reduce administrative burdens. Our expert team ensures accurate, timely billing, allowing healthcare providers to focus more on patient care. Trust us for efficient, supportive financial management...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
US-based outsourced dental billing for practices and DSOs — insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Works inside the practice’s existing PMS. Published pricing, month-to-month, no onboarding fee...
Top Services:
- BPO
- Location
- Nashville, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...
Top Services:
- BPO
- Business Consulting
- Branding
- Logo Design
- Show more
- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
With a legacy dating back to 2016, HiredSupport stands as a true trailblazer in the outsourced customer support realm...
Top Services:
- Customer Support
- BPO
- Call Centers
- Phone Answering Services
- Show more
- Location
- Rancho Cucamonga, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Transform Targets helps organizations scale operational capacity without increasing internal overhead. We provide skilled professionals who integrate directly into existing workflows, enabling businesses to operate efficiently while maintaining full visibility and control. Our focus is simple: support the...
Top Services:
- BPO
- Customer Support
- Logistics
- Call Centers
- Business Consulting
- Show more
- Location
- McKinney, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
BizInfor is a notable B2B data-driven marketing solution provider. Our state-of-the-art technology helps businesses of all sizes identify the right prospects...
Top Services:
- BPO
- Email Marketing
- Location
- Edison, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services include insurance verification, medical coding, claims processing, denial management, and A/R follow-up...
Top Services:
- BPO
- Digital Marketing
- Location
- Fresno, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
The firm offers tax, accounting and consulting services. We handle the back-office and bookkeeping functions of many private companies in South Florida. We are also happy to report that our lists continue to grow...
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Fort Lauderdale, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave...
Top Services:
- Accounting
- BPO
- Location
- Alexandria, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
At 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗖𝗮𝗿𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀, we are more than just a medical billing company, we are your trusted partner in maximizing revenue, minimizing claim denials, and streamlining your entire Revenue Cycle Management (RCM) process. With deep expertise in the...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Aurexis Global Commerce helps brands, sellers, retailers, and growing online businesses manage the operational side of e-commerce. From product catalogs and marketplace listings to multi-channel store support, our hands-on team helps keep e-commerce operations accurate, organized, and scalable across Shopify...
Top Services:
- BPO
- eCommerce Development
- eCommerce
- SEO
- Staff Augmentation
- Show more
- Location
- Los Angeles, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
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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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