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.
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
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
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
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
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
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
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
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
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
Awantrix is a Texas-based enterprise technology solutions provider specializing in managed IT services, cybersecurity, connectivity, infrastructure, and unified communications. The company helps organizations improve operational efficiency, strengthen security, and scale their technology environments through...
Top Services:
- BPO
- Call Centers
- Business Consulting
- IT Services
- IT Compliance Solution
- Show more
- Location
- Dallas, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $79/hr
- Minimal Budget
- Under $1,000
The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...
Top Services:
- BPO
- HR Outsourcing
- Phone Answering Services
- Customer Support
- Call Centers
- Show more
- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
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
ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...
Top Services:
- Business Consulting
- BPO
- Location
- Fort Worth, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Xassure by eDesk is a trusted customer support and back-office solutions provider helping businesses deliver exceptional customer experiences. We specialize in chat support, email support, voice support, and administrative services designed to reduce workload and improve operational efficiency...
Top Services:
- SEO
- Email Marketing
- Branding
- Digital Marketing
- PPC
- Show more
- Location
- Simi Valley, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
We are dynamic and versatile team of digital marketing experts who bring together diverse talents and experiences to deliver exceptional results for our clients...
Top Services:
- SEO
- PPC
- Social Media Marketing
- Video Production
- BPO
- Show more
- Location
- Los Angeles, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Customer Direct answers your calls and gives you answers about your business. What makes us unique: we analyze every single interaction, not just a small sample like most call centers...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- AI Development
- Show more
- Location
- Maryland Heights, Missouri
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Include Work helps founders and teams save time and scale faster with expert Virtual Assistant and back-office support. With 100+ skilled VAs, we deliver reliable, high-quality solutions for admin, marketing, design, and research...
Top Services:
- IT Services
- CRM Consulting
- Digital Services
- UI/UX Design
- Digital Marketing
- Show more
- Location
- Albuquerque, New Mexico
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $7/hr
- Minimal Budget
- Under $1,000
Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...
Top Services:
- Digital Strategy
- Creative Services
- Public Relations
- Graphic Design
- Digital Services
- Show more
- Location
- El Paso, Texas
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
VirPhone provides cloud-based business phone systems, VoIP, and UCaaS solutions designed to help companies communicate more efficiently with scalable features, advanced call handling, device flexibility, and dependable support...
Top Services:
- Managed Services
- Cloud Consulting
- Digital Services
- IoT
- IT Services
- Show more
- Location
- Florence, Kentucky
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
GoBro Web Services is a California-based web design and digital solutions agency that helps businesses strengthen their online presence through professional website design, web and app development, branding, SEO, digital marketing, and technical support services. The agency focuses on delivering modern...
Top Services:
- Digital Services
- Graphic Design
- Web Design
- Digital Marketing
- Email Marketing
- Show more
- Location
- Lake Elsinore, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...
Top Services:
- Call Centers
- Location
- Tucson, Arizona
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
Popular Services
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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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