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 × Insurance × 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
  • #1 Trusted Medical Billing Company

    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 optimizes revenue with expert billing, credentialing & consulting.

    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
  • You Create, We Support.

    MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • BPO
    • Show more
    Location
    Miami, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    4 Projects Listed
  • Fastest and Reliable Recruitment Agency in Nigeria, and Georgia (USA)

    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
  • Rise to Maximize Forever

    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
  • Top-rated Medical Billing Company in the USA

    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
  • BPO Outsourcing Services For Business Growth

    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
  • 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
  • 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
  • Exceed Your Expectations!

    Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...

    Top Services:

    • BPO
    • Accounting
    Location
    Twentynine Palms, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Enterprise IT Solutions That Drive Business Growth

    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
  • Human-Focused.

    Offering Contact & Call Center Services. Experience is everything. At NexRep, we know that creating exceptional experiences for our Marketplace Contractors inspires them to create exceptional customer experiences...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • BPO
    Location
    Portland, Maine
    Number of Employees
    250 - 499
    Minimal Budget
    Under $1,000
  • Empowering Growth with Expert Contact Center & Digital Solutions Tailored to Your Needs

    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
  • StreamRCM

    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
  • Your Business, Our Solution

    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
  • We Create With Your Needs And Preferences In Mind.

    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

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
17

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