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
12 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.
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 View All Reviews
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
Hire Live Support Inc Services
Call Centers
BPO
Web Design
Web Development
SEO
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Goggles4u
Savers
Hyperanimation
Eyeglasses.pk
Data sourced from the agency's DesignRush profile
Hire Live Support Inc Reviews & Testimonials
Alex Stone Review from Google
5.0★
Alex Stone's Review Sourced from Google
Partnering with Hire Live Support has been one of the best decisions for Our Company. Over the past two years, they have consistently delivered exceptional service and have handled our operations seamlessly, allowing us to focus on growth without any operational worries.We currently have a team of 13 experienced agents working with us through Hire Live Support across multiple departments, including Customer Support Representatives, Go-High Level Tech Experts, and exceptional Customer Experience Agents. The level of professionalism, dedication, and reliability they bring is truly outstanding. They have ensured smooth day-to-day functioning, provided well-trained resources, and managed our processes with complete accountability.Finding an outsourcing agency as reliable as Hire Live Support is rare. They have been the most dependable and trustworthy partner I’ve worked with, and I continue to be impressed by their commitment to excellence.I highly recommend Hire Live Support to anyone looking for a reliable outsourcing partner.
Brit Wilbanks Review from Google
1.0★
Brit Wilbanks's Review Sourced from Google
Please don't apply to companies open jobs posing as a candidate. The job market is hard enough for people out here, without businesses getting flooded with other businesses slide decks trying to make sales connections.Sincerely,The recruiter who had to look at your stupid slide deck.
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
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
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
Your Perfect Partner For Improved Revenue Cycle Management Services
We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...
Top Services:
BPO
Location
Lansdale, Pennsylvania
Number of Employees
250 - 499
Average Hourly Rate
$8/hr
Minimal Budget
Under $1,000
Purview Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials...
Top Services:
BPO
Location
Austin, Texas
Number of Employees
50 - 99
Average Hourly Rate
$30/hr
Minimal Budget
Under $1,000
MedBrilliance Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims...
Top Services:
BPO
Location
Hillside, New Jersey
Number of Employees
50 - 99
Minimal Budget
Under $1,000
Mastermind Healthcare RCM Tactics Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
U Control Billing offers professional medical coding services that ensure accurate CPT, ICD-10, and HCPCS coding for healthcare providers. Our certified coders help reduce claim denials, maintain compliance, and improve reimbursement by translating clinical documentation into precise, billable codes that...
Top Services:
BPO
Location
Hauppauge, New York
Number of Employees
50 - 99
Minimal Budget
Under $1,000
UControl Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Medical Billing & Revenue Cycle Management Company
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
Connexus Cure Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Scale Your Business With Quality Outsourced Teams In Back Office Support.
RPM stands out as a comprehensive solution provider, offering bilingual expertise in both English and Spanish, with the flexibility to provide full-time or part-time dedicated resources, fully managed to meet diverse operational needs. Our capabilities span a wide spectrum, encompassing intricate back-office...
Top Services:
BPO
Customer Support
Call Centers
Staff Augmentation
Show more
Location
San Jose, California
Number of Employees
100 - 249
Minimal Budget
Under $1,000
RPM Services
BPO
Customer Support
Call Centers
Staff Augmentation
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dedicated to provide billing solutions to medical providers.
Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...
Top Services:
Call Centers
Location
Tucson, Arizona
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Virtual Connect Services
Call Centers
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:
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?