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
7 Companies-Rankings updated: September 06, 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 View All Reviews
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 View All Reviews
Vetted Virtual Assistants with a Broad Range of Expertise
myVA360 provides on-going, on-demand support for businesses of all sizes. Get matched with a dedicated virtual assistant with a wide range of skills, for a fraction of the cost of hiring an employee...
Top Services:
BPO
Location
Miami, Florida
Number of Employees
Under 49
Average Hourly Rate
$24/hr
Minimal Budget
Under $1,000
myVA360 Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Our services provide you with a well-structured analysis that will help you make an informed choice. Virtual Assistant services from the United States fully comprehend, support, and operate in accordance with your needs...
Top Services:
BPO
Location
Perth Amboy, New Jersey
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Ossisto Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Zmed Solutions Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Healthcare Industry
Finance Industry
Corporate Services Industry
Data sourced from the agency's DesignRush profile
Zmed Solutions Reviews & Testimonials
priscilla Atu-tetuh Review from Google
5.0★
priscilla Atu-tetuh's Review Sourced from Google
Robb was very kind to reopen my case with BCBS to credential me.hi very patient in assisting explaining in detail what you need to do. He will also go out of his way to call the insurance and we had a three way conversation. That was very helpful. Thank you Robb.
Gabriel Eleda Review from Google
5.0★
Gabriel Eleda's Review Sourced from Google
This credentialing company is dependable and communicates very effectively. They provide excellent customer service and consistently get things done in a timely manner.
Woke Enterprises Review from Google
5.0★
Woke Enterprises's Review Sourced from Google
Zmed Solutions has been very professional and prompt in returning calls or following up on emails. They have been very efficient with the credentialing panel for two states and have kept me updated on the progress. You will not go wrong by selecting Zmed Solutions for your credentialing needs.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
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
Assisttree Services
Digital Marketing
SEO
BPO
Customer Support
HR Outsourcing
Web Development
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?