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 × Education × Under $1,000 ×Clear Filters
  • US-Based Outbound SDR Agency. Boutique. Multi-Channel. Real Pipeline.

    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
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    Location
    Las Vegas, Nevada
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Delivering Customer Service with a Personal Touch

    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
  • Support You Can Trust. Results You Can Measure.

    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
  • Focus On Your Company Leave The Tech To Us.

    We are a tech production company that specializes in virtual events. Our team will work with you to plan and coordinate every aspect of your event, ensuring that it runs smoothly and seamlessly...

    Top Services:

    • Video Production
    • Branding
    • Audio Production
    • Translation Services
    • Digital Marketing
    • Show more
    Location
    Middletown, Delaware
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • A Virtual Assistant Agency For Growing Businesses

    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
  • Transforming Healthcare Practices

    At Integrate Point, we specialize in empowering medical professionals with custom solutions designed to simplify and optimize medical management by ensuring regulatory compliance. Our services include medical credentialing, revenue cycle management (rcm), prior auth, practice management, healthcare digital...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    Wylie, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • To Streamline & Grow Their Business With Us

    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
  • A Digital Marketing Agency Led by Upworks Top-Rated Freelancers.

    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
  • 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
  • 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
129,262+
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