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

6 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 × AI × Under $1,000 × Clear Filters
  • 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

    FutureMD Solutions Services

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Healthcare Practices
    • Dental Industry
    • Wellness & Fitness Industry
    • Medical and Diagnostic Laboratories
    • Medical Health Care
    • Medical Hospitals
    • Professional Services Industry
    • HR Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile

    FutureMD Solutions Reviews & Testimonials

    • Texas Medical Supply.
      Texas Medical Supply. Review from Google
      5.0

      Texas Medical Supply.'s Review Sourced from Google

      FutureMD Solutions is exceptional for compleating our credentialing process in 100 days 5/5 ! Now they are helping us with our DME billing for fast 5 monthes so far very satisfied . our denials are at an all-time low. Highly professional and efficient—highly recommended for any medical equipment supplier!"

    • Leandro Ansart
      Leandro Ansart Review from Google
      5.0

      Leandro Ansart's Review Sourced from Google

      "Switching to FutureMD Solutions completely transformed our medical billing process. Our claim approval rate increased, payments arrive faster, an their EHR system is very easy to use. If you're lookin for reliable medical billing and EHR services in the U this company delivers real results."

    • angelic lopez
      angelic lopez Review from Google
      5.0

      angelic lopez's Review Sourced from Google

      "As a new clinic, we needed an affordable EHR and medical biting iodT partner. Futuremd set up talkEHR /EHR for us for very minimum setup fee, handled credentialing, and managed billing seamlessly. Great service, transparent pricing, and excellent customer support."

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Vserve Ebusiness Solutions

    Verified Verified 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

    Vserve Ebusiness Solutions Services

    • Logistics
    • Accounting
    • eCommerce Development
    • BPO
    • Call Centers
    • Web Design
    • eCommerce
    • SEO
    • Customer Support
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Traci Miller
    • Marcia Maples
    • Joseph Powell
    Data sourced from the agency's DesignRush profile

    Vserve Ebusiness Solutions Reviews & Testimonials

    • Marie M. Harris Undisclosed at Retail
      5.0

      Customer Support Review from Marie M. Harris

      Although we have been struggling before, after expanding our influence into mountain wear and watches, it became evident that we needed some professional help. We were offering many new products, and making matters worse, we were present in different foreign markets, which mean many competitors to keep an eye on. After some consultations with the Vserve team, we had no doubts that they were the solution we had been looking for. Thanks to their proven MAP enforcement strategies, maintaining our market position is now easier. We always have accurate pricing information at our fingerprints. I must say, we are really impressed with Vserve.

    • Danielle W Undisclosed at Retail
      5.0

      Customer Support Review from Danielle W

      Our company is grateful to have found a collaborative team in Vserve for our Product Information Management. Initially, we were unsure about the quality of product descriptions and their accessibility to our buyers. However, Vserve’s expertise in programming language and business best practices helped us to manage our complete product information and catalog pretty well. The conversion rate excelled our expectations, and our products shot up on Google rankings!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • 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

    UControl Billing Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • UnitedHealthcare Inc
    • Medicare
    • Medicaid
    Data sourced from the agency's DesignRush profile
  • 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

    Connexus Cure Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Dental Industry
    • Wellness & Fitness Industry
    Data sourced from the agency's DesignRush profile
  • 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

    Virtual SEOs Services

    • SEO
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Home Health Care
    • Quiz Patente Tradotto
    • Casetology
    Data sourced from the agency's DesignRush profile
  • 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

    Assisttree Services

    • Digital Marketing
    • SEO
    • BPO
    • Customer Support
    • HR Outsourcing
    • Web Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • workforce7
    • Dv Comm System
    • Indo Global Holidaz
    Data sourced from the agency's DesignRush profile

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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