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.
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
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- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 12 Projects 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
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- Location
- Cerritos, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $5/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 16 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
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- Location
- Peachtree City, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/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
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
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- 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
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- Location
- Princeton, New Jersey
- Number of Employees
- 500 - 999
- Minimal Budget
- Under $1,000
- Portfolios Count
- 4 Projects Listed
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
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
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
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
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- Location
- Rancho Cucamonga, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
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
Virtual Staffer PH is a Philippines-based recruitment and staffing agency connecting U.S. businesses with skilled Filipino professionals. We specialize in recruiting virtual assistants, bookkeepers, accountants, administrative staff, customer support representatives, and remote professionals. Our services...
Top Services:
- BPO
- HR Outsourcing
- Accounting
- Customer Support
- Digital Services
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- Location
- St. Louis, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $40/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Unbench is a B2B hiring platform that helps companies find top tech talent quickly and cost-effectively. Instead of working with multiple recruiting agencies separately, businesses can post a single request and receive pre-screened candidates from a network of vetted recruiting partners...
Top Services:
- Staff Augmentation
- IT Services
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Physicians Revenue Group, Inc. is the best medical billing company in the USA, that helps physicians to focus on patient care and boost their practice revenue...
Top Services:
- BPO
- Digital Marketing
- Web Design
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- 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
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- Location
- Dallas, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $79/hr
- Minimal Budget
- Under $1,000
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
Decreasing costs, saving money, increasing leads, and enhancing your business: make Hit Rate Solutions your first choice for an outsourced call center!...
Top Services:
- Call Centers
- Phone Answering Services
- Customer Support
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $7/hr
- Minimal Budget
- Under $1,000
N2S offers global workforce solutions, enabled by local expertise. This done by simplifying the hiring process through extensive payroll support and focus on compliance...
Top Services:
- Business Consulting
- BPO
- HR Outsourcing
- Location
- Jersey City, New Jersey
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
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
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- Location
- Boca Raton, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Platonics provides cost-effective medical staffing solutions with HIPAA-trained remote staff. Build your ideal team and save up to 75% on staffing costs...
Top Services:
- Call Centers
- BPO
- IT Compliance Solution
- Transcription Services
- Phone Answering Services
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
- Minimal Budget
- Under $1,000
Magellan Solutions USA delivers expert contact center and digital marketing services tailored to your business needs. From inbound and outbound support to live chat, telemarketing, and SEO, we help businesses enhance customer engagement and drive growth. As a small, minority-owned business with diverse...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Customer Support
- Show more
- Location
- Melbourne FL, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $29/hr
- 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
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:Â
- Customer support and call center services across phone, chat, and email.Â
- Back-office services such as data entry, billing, payroll, and document processing.Â
- Finance and accounting support, including bookkeeping, AP and AR, and reporting.Â
- Human resources outsourcing covering recruitment support, onboarding, and HR administration.Â
- IT and technical support, including help desk and application support.Â
- Sales and lead generation service,s such as appointment setting and CRM management.Â
- Marketing operations support, including campaign execution and analytics.Â
- Industry-specific services for healthcare, legal, and financial operations.Â
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.Â
Project-based pricing:Â
- Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.Â
- Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.Â
- Large-scale programs:Â $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.Â
- Enterprise-level BPO:Â $1 million+ annually for high-volume, regulated, or fully managed operations.Â
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.Â
Which industries most commonly use BPO services in the US?
BPO companies most commonly serve:Â
- Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development.Â
- Healthcare and medical billing, including claims processing, coding, and patient support.Â
- Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes.Â
- Legal services, with 68% of organizations are outsourcing legal and compliance tasks.Â
- Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing.Â
- Human resources, with 57% outsourcing HR functions such as payroll and benefits administration.Â
- Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making.Â
- Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%.Â
What outsourcing models do US-based companies typically offer?
They typically offer these outsourcing models:Â
- Onshore outsourcing with US-based teams.Â
- Nearshore outsourcing using teams in nearby regions.Â
- Offshore outsourcing for cost-sensitive, high-volume work.Â
- Dedicated team models for long-term operations.Â
- Project-based outsourcing for fixed scope work.Â
- Hybrid models combining multiple delivery locations and pricing structures.Â
How do businesses measure ROI when outsourcing to a BPO partner?
Businesses measure performance and ROI by tracking:Â
- Service level agreements such as response time, resolution time, and accuracy.Â
- Cost savings compared to in-house staffing and operations.Â
- Productivity metrics like volume handled per agent or per hour.Â
- Quality scores including error rates, compliance, and customer satisfaction.Â
- Revenue impact for sales, retention, or collections focused programs.Â
- Regular reporting, benchmarking, and quarterly performance reviews.Â
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