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
DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.
Unlock Possibilities in Healthcare Management.
Sunknowledge Services Inc. is a dynamic medical billing services & collections company extending superior, proprietary technologies, workflow, and business processes that exceed clients' expectations and enhance their revenue cycle. Focused on providing operational enhancements while significantly reducing [... view Sunknowledge profile ]- Location
- New York City, New York
- Number of Employees
- Under 49
World Class Onsite Outsourcing and Staffing Solution
Forrest Solutions is the nation’s first and leading onsite outsourcing and staffing company. For 45 years we’ve provided companies of all sizes with people solutions on an onsite outsourced, direct hire, temporary, temp-to-hire and consulting basis. [... view Forrest Solutions profile ]- Location
- New York City, New York
- Number of Employees
- Under 49
Impact That Drives Performance
GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 9,500-strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient [... view GeBBS Healthcare Solutions profile ]- Location
- East Haven, Connecticut
- Number of Employees
- Under 49
BPO Excellence
Business process outsourcing (BPO) is a valuable strategy for companies seeking new ways to achieve high performance by controlling costs, reducing risk, and focusing on core compentencies. SoftFile offers our clients a unique blend of technology and highly trained labor to assist you with your day-to-day [... view SoftFile profile ]- Location
- Sacramento, California
- Number of Employees
- Under 49
Live Easy, Live Free With Ossisto
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. [... view Ossisto profile ]- Location
- Perth Amboy, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Medical Virtual Assistants
Phoenix Virtual Solutions places dedicated virtual medical assistants with US home health agencies, hospice organizations, and medical practices. Built by healthcare operators with 75+ years of experience. HIPAA-trained, performance-managed, zero-risk replacement. Clients save up to 60% on labor. [... view Phoenix Virtual Solutions profile ]- Location
- Orange County, California
- Number of Employees
- 100 - 249
Innovative Solutions That Power Your Business
Zventus is a global services provider of management consulting, staffing solutions, and outsourcing services that empower organizations to innovate, improve and grow their business. [... view Zventus profile ]- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Empathy Meets Efficiency in Healthcare Revenue Cycle.
Valerion Health is a U.S.-based healthcare outsourcing agency that partners with hospitals, physician groups and clinics to optimize revenue cycle management through medical coding, billing, auditing and telemedicine support. Blending innovative solutions with deep industry experience, Valerion empowers [... view Valerion Health profile ]- Location
- Palm Harbor, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $25,000 - $50,000
Proudly Serving America's Workforce Since 1944.
We're committed to providing multiemployer clients and their members with tailored solutions, superior customer experiences, and local personalized services. [... view Zenith American Solutions profile ]- Location
- Tampa, Florida
- Number of Employees
- 1000 & Up
Fast and Reliable
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 [... view Zmed Solutions profile ]- Location
- Minneapolis, Minnesota
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $1/hr
- Minimal Budget
- Under $1,000
We Listen. We Help. We Care.
Medcare MSO is a healthcare revenue cycle management (RCM) company dedicated to enhancing the financial performance of healthcare organizations. Through the implementation of best practices and cutting-edge technology tools, we streamline processes, boost revenue, and expedite reimbursement cycles, ultimately [... view Medcare profile ]- Location
- Santa Fe, New Mexico
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
We make data work for you.
Mobius is revolutionizing the data journey to address real-time business challenges and drive excellence, leveraging the capabilities of artificial intelligence, machine learning, and intelligent automation. [... view Mobius profile ]- Location
- New York City, New York
- Number of Employees
- 1000 & Up
We Provide Medical Billing Services in California.
Certified Healthcare Billing is a premier medical billing company based in California. We specialize in providing comprehensive billing services tailored to the healthcare industry. Our expertise ensures efficient, accurate, and compliant billing solutions for healthcare providers. [... view Certified Healthcare Billing profile ]- Location
- Los Angeles, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
We are Here For Your Care
MediBillMD provides medical billing, coding, and revenue cycle management services to healthcare providers. MediBillMD values are reflected in our dedication to delivering the most efficient solutions for medical billing and revenue cycle management. [... view MediBill MD profile ]- Location
- Dallas, Texas
- Number of Employees
- 100 - 249
- The NYC medical billing company is based in New York City, the city of lights and elites.
The NYC medical billing company is based in New York City, the city of lights and elites.
The NYC medical billing company is based in New York City, the city of lights and elites. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA. [... view NYC Medical Billing Services profile ]- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
The Medical Billing Partner You Can Trust
OneMed Billing helps healthcare providers handle their billing smoothly and correctly. We take care of everything from medical coding and sending claims to following up on denials and collecting payments from patients. Our main focus is to help you avoid delays, keep your cash flow steady, and reduce mistakes [... view OneMed Billing profile ]- Location
- Wilmington, Delaware
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
AI-Driven Revenue Cycle Management Services
IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management. [... view IDS Healthcare profile ]- Location
- New York City, New York
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $10,000 - $25,000
Swagpro Medical Billing Services
Swagpro Medical Billing Services is recognized as the best medical billing company in Nebraska, offering top-quality, end-to-end medical billing services in Nebraska. [... view Swagpro Medical Billing Services profile ]- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $1,000 - $10,000
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. [... view Contasks profile ]- Location
- Dublin, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
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 [... view MedBrilliance profile ]- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Focus On Patients, Well Handle The Billing
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. [... view Mastermind Healthcare RCM Tactics profile ]- Location
- Hillside, New Jersey
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Your Reliable Billing Help
Liberty Liens is a reliable partner for doctors across the United States. We handle billing, lien filing, claim tracking, and day-to-day support to make the complex side of practice management easier, faster, and more dependable. [... view Liberty Liens profile ]- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Revolutionize Revenue Cycle Management For Healthcare
iSolve RCM is the best medical billing company that offers comprehensive healthcare revenue management services, with a fee as low as 2.99% of monthly collections. We serve 50+ specialties in all 50+ states. Reach out to us for expert medical billing services in USA. [... view ISolve RCM profile ]- Location
- Edison, New Jersey
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Clearing Claims. Building Confidence
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 [... view UControl Billing profile ]- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Medical Billing Services That Maximize Your Revenue
At Expeditious Medical Billing, we provide complete medical billing and revenue cycle management solutions for healthcare providers of all sizes. Whether you're a solo practitioner managing patient care or a growing healthcare group handling high patient volumes, our team ensures your billing process runs [... view Expeditious Medical Billing profile ]- Location
- Richmond, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
Putting Patients First, Every Claim, Every Time
Prime Doc Billing LLC is a trusted medical billing company in Brooklyn, New York, specializing in revenue cycle management and healthcare administrative solutions. We help healthcare providers maximize reimbursements, reduce claim denials, and streamline operations, allowing them to focus on patient care. [... view Prime Doc Billing LLC profile ]- Location
- New York City, New York
- Number of Employees
- 50 - 99
Your Billing Partner In Better Healthcare
Healthcare Billing Services provides reliable medical billing and revenue cycle management solutions designed to help healthcare providers get paid accurately and on time. We reduce administrative workload, improve reimbursement rates, and ensure compliant billing so providers can focus on patient care. [... view Healthcare Billing Services profile ]- Location
- Maryland Heights, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $50,000 & Up
Customized Medical Billing Solutions
Medetec is a medical billing services company based in the USA that specializes in revenue cycle management for healthcare practices. They offer comprehensive medical coding and billing services, practice management consulting, provider enrollment and credentialing, and staff training. [... view Medetec profile ]- Location
- Schenectady, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Retail CX Company
ServeRetail is a USA-based retail and ecommerce customer support provider helping global brands deliver exceptional customer experiences. We partner with ecommerce, DTC, and omnichannel retailers to manage post-purchase operations including order management, WISMO resolution, returns and refunds, and [... view ServeRetail profile ]- Location
- Norcross, Georgia
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
Trusted Expertise Proven Results
Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary [... view Medical Lien Management, Inc profile ]- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
- MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements. [... view MedMaxRCM profile ]
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
A Partner That Values Your Financial Health
At Quantum Health Services, we simplify the process of finding the best medical billing services tailored to your practice. Our platform connects healthcare providers with top-rated billing specialists to ensure efficient revenue cycle management. With seamless inquiry forms and expert support, we help you [... view Quantum Health Services profile ]- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
The #1 Customer Service Outsourcing & BPO Company
With a legacy dating back to 2016, HiredSupport stands as a true trailblazer in the outsourced customer support realm. [... view HiredSupport profile ]- Location
- Rancho Cucamonga, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Diving Into Technology
Riseup Labs is a global AI-first technology company delivering software, BPO, and CX solutions that help enterprises innovate faster, scale smarter, and grow sustainably. From Bangladesh to the world, we design and build reliable solutions and agentic workflows that drive real outcomes. [... view Riseup Labs profile ]- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 6 Projects Listed
Growth Through Servant Leadership
Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences. [... view Etech profile ]- Location
- Nacogdoches, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
Total CX and BPO Services.
ROI CX Solutions offers Total Contact Management and Business Support Services. We leverage our expertise to deliver a total package of customer care solutions and contact center services! We provide dedicated 24X7-365 outsourcing solutions. ROI CX Solutions is driven by results, whether it is maximizing your [... view ROI CX Solutions profile ]- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
Build a Team. Build a Future.
ALLSTARSIT is an international outstaffing service provider that helps businesses recruit, pay, insure, and support top global talent with payroll, benefits, and more. [... see all ALLSTARSIT reviews ]- Location
- San Francisco, California
- Number of Employees
- 1000 & Up
Partners You Can Count On.
CSV Now, a premier consulting firm, excels in talent acquisition, content marketing, and Business Process Outsourcing (BPO). We elevate leading tech brands with holistic business solutions, combining expert talent sourcing and impactful brand communication. With a proven history of success, CSV Now is your [... view CSV Now profile ]- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
Support You Can Trust. Results You Can Measure.
Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner. [... view Optimized EA profile ]- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
Trusted Data Partner across the Globe
BizInfor is a notable B2B data-driven marketing solution provider. Our state-of-the-art technology helps businesses of all sizes identify the right prospects. [... view BizInfor profile ]- Location
- Edison, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
- Complete Enterprise Data Support - Data Entry, eCommerce Product Listing, Web Research, Data Mining,
Complete Enterprise Data Support - Data Entry, eCommerce Product Listing, Web Research, Data Mining,
DataEntryIndia.in is a leading data management and BPO service provider with over 25 years of experience and 850+ full-time data experts. [... view DataEntryIndia.in profile ]- Location
- Laguna Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Focus On Your Company Leave The Tech To Us.
We are a tech production company that specializes in virtual events. Our team will work with you to plan and coordinate every aspect of your event, ensuring that it runs smoothly and seamlessly. [... view Isde Digital profile ]- Location
- Middletown, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Empowering Digital Transformations
CodeFulcrum is an agile and progressive software company. Specializing in web, mobile and enterprise software development. Delivering products that are both visually stunning and technically ambitious with an unparalleled level of expertise. [... view CodeFulcrum profile ]- Location
- South San Francisco, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 2 Projects Listed
Showing the World a Better Way to Outsource
Customer service and back-office support services are offered across all available channels by SupportNinja. Our main clients are Silicon Valley-based and international technology startups that receive VC funding. Apps, software, and platform-based technology enterprises that focus on serving consumers depend [... view SupportNInja profile ]- Location
- Dallas, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Go further
Transdata offers best in class digital marketing services and complete branding solutions from strategy consultation, media marketing to optimization. Creative marketing strategies and products optimization enable businesses to generate maximum revenue and sales. [... view TransData profile ]- Location
- Woodbridge Township, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $29/hr
- Minimal Budget
- $1,000 - $10,000
Run Your Entire Practice With One EHR+ Platform
A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity. [... view Tebra profile ]- Location
- Newport Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Exceptional Outsourcing Solutions
Everise offers enterprises the solutions and technology they need to rapidly scale their brands across markets, and to evolve their offering through the product or service lifecycle. Some of the world’s most loved brands have products and services that are tested, protected, supported and sold by Everise. [... view Everise profile ]- Location
- Austin, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $100/hr
Built Differently to Delight.
QuisLex is an award-winning alternative legal services provider that specializes in managed document review, contract management, compliance services, legal spend management, and legal operations consulting. [... view Quislex profile ]- Location
- New York City, New York
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Financial Business Process Outsourcing for Large and Mid-Sized Enterprises
IQ BackOffice is the leading accounting automation provider, offering 99.97% quality and up to 68% savings to companies around the globe. [... view IQ BackOffice profile ]- Location
- El Segundo, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
Optimizing Legal Operations
UnitedLex is the go-to leader in optimizing legal and accelerating business through digital agility. The world’s most forward-thinking businesses, law departments, and law firms rely on the company’s expertise in over 25 global jurisdictions. Founded in 2006, the team includes 3,000 legal, engineering [... view UnitedLex profile ]- Location
- New York City, New York
- Number of Employees
- Under 49
BPO Companies by State
BPO Specializations in the US
Hiring Guide: How to Choose the Best BPO Service Providers in the US
How to choose the right BPO company for your business needs?
To choose the best company for your business needs:
- Define the processes you want to outsource and the outcomes you expect.
- Evaluate industry experience and relevant case studies.
- Compare pricing models, contract terms, and scalability.
- Review SLAs, security standards, and compliance requirements.
- Assess communication, reporting cadence, and account management.
- Verify reviews, client retention, and long-term performance history.
If you need help finding a US BPO company, you can submit your project requirements through the DesignRush Marketplace and receive a free shortlist of providers that match your scope, budget, and business needs.
What criteria should be used to compare BPO companies in the USA?

To compare a BPO company with another, businesses should evaluate:
- Service scope and industry specialization, since 42% of organizations outsource to gain better access to talent and 20% to access new capabilities.
- Pricing models and cost transparency, as 34% cite spend optimization as a primary driver for outsourcing.
- Proven results, case studies, and client reviews, with 33% prioritizing improved quality and performance.
- Service level agreements, KPIs, and reporting standards, driven by rising customer expectations, reported by 35% of organizations.
- Data security, compliance, and risk management, as 19% outsource in response to an evolving risk landscape.
- Scalability and team structure, aligned with the need for flexible and scalable talent models cited by 23% of businesses.
- Communication and governance model, supporting better alignment to business strategy and operating model changes, noted by 27% of organizations.
What questions should you ask before hiring a BPO company?
Before hiring a United States BPO provider, businesses should ask:
Relevant Background
- What are the most notable BPO case studies you’ve delivered, and what results were achieved?
- Which industries and business functions do you specialize in?
- What types of processes do you have the strongest operational track record in?
Services and Processes
- Which processes would you manage, and how are they structured operationally?
- How do you handle onboarding, knowledge transfer, and process documentation?
- What does quality control and ongoing optimization look like?
Relevant to Your Project
- Which team members will support our account, and what relevant experience do they bring?
- How do you scale teams as demand, volume, or seasonality changes?
- What is the expected timeline from onboarding to full delivery?
What outcomes should businesses expect?

When partnering with a top BPO provider in the US, businesses can expect:
- Lower operating costs versus in-house teams, with cost reduction and efficiency now baseline expectations, as 35% of GBS organizations strongly agree.
- Improved efficiency and productivity, with 49% of organizations reporting measurable effort reduction.
- Increased throughput, as 45% of companies report doing more with the same or fewer resources.
- Access to specialized expertise and new capabilities, cited by 29% of businesses.
- Scalable operations that adjust to demand, seasonality, and growth.
- Consistent service quality tracked through SLAs, KPIs, and performance reporting.
- Greater internal focus on core and revenue-driving activities.
What KPIs will define the success of a BPO partnership?
The success of a BPO partnership is typically defined by KPIs such as:
- Service level attainment, including response time, resolution time, and accuracy.
- Cost savings versus in-house operations.
- Productivity metrics such as volume handled per agent or per hour.
- Quality and compliance rates, including error reduction and audit results.
- Customer satisfaction scores such as CSAT or NPS.
- Revenue impact for sales, retention, or collections-focused engagements.
How to find the best BPO companies in the USA on DesignRush?
DesignRush curates top BPO companies in the USA across budget levels, helping businesses find the right provider based on scope, industry, and spend:
| High budget: $50,000+ |
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| Low budget: $25,000-$50,000 |
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Why People Trust DesignRush
Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding BPO companies in the USA. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.

Learn more about DesignRush Agency Ranking Methodology.
Sources
DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:
- Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
- The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.
Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.
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: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?
BPO companies most commonly serve:Â
- Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development.Â
- Healthcare and medical billing, including claims processing, coding, and patient support.Â
- Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes.Â
- Legal services, with 68% of organizations are outsourcing legal and compliance tasks.Â
- Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing.Â
- Human resources, with 57% outsourcing HR functions such as payroll and benefits administration.Â
- Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making.Â
- Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%.Â
What outsourcing models do US-based companies typically offer?
They typically offer these outsourcing models:Â
- Onshore outsourcing with US-based teams.Â
- Nearshore outsourcing using teams in nearby regions.Â
- Offshore outsourcing for cost-sensitive, high-volume work.Â
- Dedicated team models for long-term operations.Â
- Project-based outsourcing for fixed scope work.Â
- Hybrid models combining multiple delivery locations and pricing structures.Â
How do businesses measure ROI when outsourcing to a BPO partner?
Businesses measure performance and ROI by tracking:Â
- Service level agreements such as response time, resolution time, and accuracy.Â
- Cost savings compared to in-house staffing and operations.Â
- Productivity metrics like volume handled per agent or per hour.Â
- Quality scores including error rates, compliance, and customer satisfaction.Â
- Revenue impact for sales, retention, or collections focused programs.Â
- Regular reporting, benchmarking, and quarterly performance reviews.Â
About The Author and Expert Reviewer
Bojana Trajcheva is a seasoned content editor and innovation researcher with extensive experience in the tech and marketing industries. Formerly Editor-in-Chief at Studentsko Eho, she developed a strong foundation in content creation and editorial leadership. Bojana further honed her skills in senior innovation research roles and now brings this combined expertise to her work as an editor at DesignRush.
Gianluca Ferruggia is a seasoned digital marketer with over ten years of experience. Starting with PPC, he effectively expanded his expertise to include SEO, sales, business development, and product. He is currently the General Manager at DesignRush, where he leads a team of over 100 professionals, oversees business operations, and develops strategies that achieve business goals. In just a few years, he grew the company's agency network to over 30,000, making it one of the leading B2B marketplaces that connect businesses with agencies.




















































