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
14 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.
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
Leadium Services
Email Marketing
BPO
CRM Consulting
Business Consulting
Direct Marketing
Customer Support
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Square
Rackspace
Microsoft
LG
DirecTV
OSRAM
Time Logistics
Palo Alto Networks
Amada Senior Care
brightwheel
Data sourced from the agency's DesignRush profile
Leadium Reviews & Testimonials
Scott Proffitt
VP of Sales at Energy Assurance
5.0★
AI Marketing Review from Scott Proffitt
Our monthly leads have gone up by 3x with Leadium. This allows us to focus on production efficiencies.
Sam Jennings
Sales Manager at Best Bees Company
5.0★
Call Centers Review from Sam Jennings
Finding Leadium changed the way our team operates. They've been able to fill our pipeline with the people we want to talk to so we can focus on beekeeping.
Marcos Moura
Founder and COO at Amada Senior Care
5.0★
Call Centers Review from Marcos Moura
Leadium is able to speak to our prospects as if they're Amada themselves. They're filling our pipeline in a way we couldn't!
Reviews verified by DesignRush and sourced from the agency's profile
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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
Billing MedTech Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dental Industry
Health Care Industry
Recreation & Travel Industry
Insurance Industry
Data sourced from the agency's DesignRush profile
Billing MedTech Reviews & Testimonials
Mick Fennimore
Review from Google
5.0★
Mick Fennimore's Review Sourced from Google
Their service gives me peace of mind. I know my claims are handled correctly and payments arrive on time.
Ryan Collins
Review from Google
4.0★
Ryan Collins's Review Sourced from Google
As the office manager of a clinic here in Texas, I can honestly say outsourcing was the best choice we made. The billing service has been accurate, proactive, and has given our physicians more time to focus on patient care.
Brandy Weiner
Review from Google
5.0★
Brandy Weiner's Review Sourced from Google
I run a private practice in Texas, and finding reliable support was always a challenge. Their medical billing services have taken a huge weight off my shoulders, with faster reimbursements and fewer denials than ever before.
Reviews verified by DesignRush and sourced from the agency's profile
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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
Enfinity Medical Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Greenwood Family Dentary
City Urgent Care
Malibu Medical Group
Alternative Care Physical Therapy
Rangel Dental
Madison Dental
Data sourced from the agency's DesignRush profile
Enfinity Medical Billing Reviews & Testimonials
Masaud Khan
Review from Google
5.0★
Masaud Khan's Review Sourced from Google
As a healthcare provider, I have greatly benefited from Enfinity Medical Billing, both personally and for my clinic. They have made a significant positive impact on my practice, streamlining my work and making my professional life much easier.
Reviews verified by DesignRush and sourced from the agency's profile
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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
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Location
Miami, Florida
Number of Employees
500 - 999
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
MiXBS, LLC Services
Call Centers
Phone Answering Services
Customer Support
Business Consulting
BPO
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
CDEK
Buch
Ramayoga
Imark Tech
SovPlym
KNOVR
Data sourced from the agency's DesignRush profile
MiXBS, LLC Reviews & Testimonials
Kevin Swindlehurst
Airline Operations Supervisor at Flightworx Aviation
5.0★
Customer Support Review from Kevin Swindlehurst
If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.
Reviews verified by DesignRush and sourced from the agency's profile
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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
Avant Tech Services
BPO
IT Services
HR Outsourcing
Managed Services
Mobile App Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
IBM
Zoho Corporation
Datalogic
Ascendum
Freddie Mac
Data sourced from the agency's DesignRush profile
Avant Tech Reviews & Testimonials
Kingsley C. Maduagwu
Head of Marketing at Jindu Store
5.0★
IT Staffing Review from Kingsley C. Maduagwu
Avant Tech Nigeria, helped our company recruit 20 digital marketing specialists to aid business growth
Reviews verified by DesignRush and sourced from the agency's profile
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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
Virtual Mojoe Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Transcure Services
BPO
AI Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Harding Memorial Healthcare
Wilson Creek Internal Medicine Group |
MountainView Regional Medical Center
Bingham Memorial Hospital
Panda Pediatrics and Adolescent Care
Data sourced from the agency's DesignRush profile
Transcure Reviews & Testimonials
Amber Nestor
Review from Google
5.0★
Amber Nestor's Review Sourced from Google
We’ve had a great experience working with Transcure. Their team is consistently responsive and attentive to our needs. Whether it’s gathering reports on short notice or addressing questions quickly, they’ve always gone above and beyond to support us. Their professionalism and reliability have made a significant difference in our operations. Highly recommend!
Emily Liu
Review from Google
4.0★
Emily Liu's Review Sourced from Google
We've had a great experience working with Transcure Medical Billing. Communication is always clear and timely. Their team is knowledgeable, responsive, and efficient in handling our billing needs. While there's still a little room for improvement in reporting details, overall they've been a valuable partner in supporting our practice's growth. Would definitely recommend their services to other healthcare providers!
Matt Loudin
Review from Google
5.0★
Matt Loudin's Review Sourced from Google
We have been utilizing Transcure's services. We are very pleased, and Transcure has exceeded our expectations. They are the best in the industry.
Reviews verified by DesignRush and sourced from the agency's profile
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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
Contasks Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Cover Operation Services
BPO
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
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Location
Dallas, Texas
Number of Employees
Under 49
Average Hourly Rate
$79/hr
Minimal Budget
Under $1,000
Awantrix Services
BPO
Call Centers
Business Consulting
IT Services
IT Compliance Solution
Cloud Consulting
Cybersecurity
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
NexRep Services
Call Centers
Phone Answering Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
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Location
Melbourne FL, Florida
Number of Employees
100 - 249
Average Hourly Rate
$29/hr
Minimal Budget
Under $1,000
Magellan Solutions USA Services
Call Centers
Phone Answering Services
BPO
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
US Department of Veterans Affairs
US Department of Treasury
North Texas Tolling Authority
San Francisco Municipal Transportation Agency
Service One of Brevard
TMS Insurance Brokerage
Data sourced from the agency's DesignRush profile
Magellan Solutions USA Reviews & Testimonials
Alex Lavarsse
Review from Google
5.0★
Alex Lavarsse's Review Sourced from Google
super attentive, helped me a lot when I needed it most, I highly recommend it, excellent professional, I would give 1000 stars
Reviews verified by DesignRush and sourced from the agency's profile
View All Reviews
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
GoBro PH Services
Digital Services
Graphic Design
Web Design
Digital Marketing
Email Marketing
Social Media Marketing
BPO
IT Services
Customer Support
Managed Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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?
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