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 × AI × Under $1,000 ×Clear Filters
  • Vserve Ebusiness Solutions

    VerifiedVerified by the DesignRush team for authenticity and credibility.
    All-In-One E-commerce Technology Solution Provider: Because Every Click Matters.

    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
  • All-in-One AI-Powered EHR, Medical Billing & RCM

    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
  • Clearing Claims. Building Confidence

    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
  • Medical Billing & Revenue Cycle Management Company

    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
  • Beyond Standard Solutions

    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
  • SEO For Everyone

    We provides top-class offshore SEO virtual assistants. Hire individually or build your SEO team to be your industry's organic leader. When you need SEO support to assist with your businesss organic growth, our SEO VAs are available on an hourly, part-time, full-time, project-based, or monthly basis...

    Top Services:

    • SEO
    • BPO
    Location
    Santa Fe, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Your Trusted Virtual Assistance Partner.

    AssistTree delivers expert support with virtual assistant services, offering dedicated virtual assistants, digital marketing support, and specialized real estate assistance. We help startups and SMBs streamline operations, boost productivity, and growth...

    Top Services:

    • Digital Marketing
    • SEO
    • BPO
    • Customer Support
    • HR Outsourcing
    • Show more
    Location
    Boca Raton, Florida
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Scalable BPO Services To Support Your Business Operations

    Call Point Business Solutions Ltd. is a business process outsourcing company established in 2017. The company provides customer-facing, administrative, technical, financial and sales support services to international businesses...

    Top Services:

    • Digital Services
    • Digital Strategy
    • Reputation Management
    • BPO
    • Call Centers
    • Show more
    Location
    Comanche, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • 24/7 HIPAA-Compliant Medical Answering Services

    HealthCare Call Center provides 24/7, HIPAA-compliant medical call answering and appointment support for healthcare practices across the U.S. Our U.S.-based team ensures every patient call is handled with care and confidentiality...

    Top Services:

    • Digital Services
    • Advertising
    • Staff Augmentation
    • BPO
    • Call Centers
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Prebuilt Shopify Stores & Custom Shopify Solutions Built to Convert

    ECOMPLIX is a conversion-focused Shopify design agency helping entrepreneurs and ecommerce brands launch, grow, and scale successful online businesses. We specialize in prebuilt Shopify stores, custom Shopify design, Shopify development, landing page creation, store redesign, migration, and conversion...

    Top Services:

    • Web Design
    • UI/UX Design
    • eCommerce Development
    • Web Development
    • WordPress Website Design
    • Show more
    Location
    Altamonte Springs, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000

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
10

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