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
2 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.
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 View All Reviews
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
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?