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.
Peace of Mind.
Elegance Healthcare LLC is a prominent healthcare technology firm that offers a full spectrum of virtualized solutions for rapidly expanding healthcare companies. [... see all Elegance Healthcare LLC reviews ]- Location
- East Providence, Rhode Island
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
End-To-End Medical Billing Services
We are a medical billing firm that provides '24/7 Medical Billing Services' and provides end-to-end medical billing solutions to physicians, hospitals, medical institutes, and group practices. With our speedy and low-cost services, we help you earn more money. Our tailored Income Cycle Management (RCM) [... view 24/7 Medical Billing Services profile ]- Location
- Marietta, Georgia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Portfolios Count
- 1 Project Listed
Healthcare Medical Billing Solutions in USA | CareMedix
Looking for new healthcare medical billing solutions? Dive into our essential guide for inclusive strategies and tips with CareMedix. [... view CareMediX profile ]- Location
- Henderson, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
No More Missed Business Calls
Assistring LLC is a customer-focused BPO partner that helps businesses scale through reliable, high-quality customer support and operational services. We combine skilled teams, efficient processes, and flexible delivery models to provide exceptional value, seamless customer experiences, and consistent [... view AssistRing profile ]- Location
- Stratham, New Hampshire
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 10 Projects Listed
Dedicated Virtual Assistants To Power Enterprises
Ecomva provides virtual assistant services and e-commerce SEO services to help businesses grow online. Our team of experienced virtual assistants can help you with a variety of tasks, including customer service, social media management, email marketing, and more. [... view EcomVA profile ]- Location
- Fremont, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Revolutionizing Remote work.
We believe that every BPO company knows and understands what they do. But very few know why they do what they do. And by "why" it does not mean to "make a profit" because that's a result and it always will be.With the Remote Group, our ultimate goal is to build relationships with those who share our beliefs [... view The Remote Group profile ]- Location
- Lewes, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 6 Projects Listed
Top Provider of Outsourcing and Customer Support
Dalerio Consulting is an international Customer Support, Marketing and Business Process Outsourcing company with rapid growth and steady foundation [... view Dalerio Consulting profile ]- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 9 Projects Listed
Outsourcing Done Ethically
BoldR Impact is a premier sustainability PEO consulting firm committed to driving positive change for businesses and the environment. With an unwavering commitment to excellence, we offer a comprehensive suite of services tailored to diverse industries. [... view Boldr profile ]- Location
- Santa Monica, California
- Number of Employees
- 1000 & Up
- Portfolios Count
- 2 Projects Listed
Simple. Effective. Smart
Unique designs, ultra customized development, and mobile applications. Our unique combination of skills and talent lets our team knock a variety of projects out of the park. We're a full-service website design, development, and consulting agency that generates growth and revenue for our clients. [... see all UniSyn Technologies reviews ]- Location
- Rantoul, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
You Have the Plans. We Have the People. Lets Grow Together.
EBQ is an outsourced sales and marketing organization that provides services to help companies scale. [... view EBQ profile ]- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 5 Projects Listed
Build Your Business Momentum with End-to-End BPO Services
Invensis is a leading business process outsourcing firm, providing an extensive range of services including IT, finance and accounting (F&A), revenue cycle management, transactional management, end-to-end e-commerce support, back office services, and more. [... view Invensis profile ]- Location
- Lewisville, Texas
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
- Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.
Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.
GreenSense Billing stands as a distinguished leader in the realm of medical billing, dedicated to streamlining billing and coding processes within the healthcare industry. Our paramount goal is to simplify these intricate procedures, strategically minimizing costs while optimizing revenue collection for our [... view GreenSense Billing profile ]- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
Top-rated Medical Billing Company in the USA
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. [... view Transcure profile ]- Location
- Farmers Branch, Texas
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
Top BPO Company USA.
DGC BPO Service is a premier US-based outsourcing company offering expert customer service, call center solutions, virtual assistance, and lead generation. We help businesses optimize operations, improve customer experiences, and drive growth with tailored, efficient solutions. [... view DGC BPO Service profile ]- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Simplifying Compliance And Amplifying Greatness.
CKH Group, a CPA-led firm offering powerful assurance, tax, accounting, and advisory services to small businesses, global enterprises, and government entities. CKH Group also provides customized outsourcing solutions to meet your business's accounting needs. [... view CKH Group profile ]- Location
- Atlanta, Georgia
- Number of Employees
- 100 - 249
- Portfolios Count
- 1 Project Listed
One Stop Shop for Lead Generation.
Zaphyre LLC is among the top B2B lead generation companies in the United States. We specialize in connecting businesses of all sizes, from Fortune 500s to startups, with qualified prospects to drive sustainable growth. [... view Zaphyre LLC profile ]- Location
- Fairfax, Virginia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 2 Projects Listed
The Gold Standard in BPO.
Golden Gate BPO offers a comprehensive range of services including multi-channel contact center solutions, customer engagement services and more [... view Golden Gate profile ]- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
BPO Company
NexGen Data Entry is one of the highly recognized organization when it comes to outsourcing back-office or essential business documentation for the past years in USA & Europe [... view NexGen Data Entry profile ]- Location
- Cary, North Carolina
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $1/hr
- Minimal Budget
- $1,000 - $10,000
Offshore Online Data Entry
Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently. [... view Offshore Online profile ]- Location
- Bergenfield, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $10,000 - $25,000
A High-Tech BPO Services With Latest Technologies
Our Triniter BPO help top fortune and medium companies to expand their customer support and back-office support teams. As we have offices in Miami, US, Chennai, India and Manila, our BPO company has been able to work 24/7 continuously. [... view Triniter profile ]- Location
- Miami, Florida
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
Experience. Reliability. Ethics
Datascribe is an ISO 9001 and ISO 27001 company rendering high quality legal solutions to our clients through a quantitative and process-driven approach with best-in-class turn-around time and high accuracy. [... view Datascribe Technologies profile ]- Location
- Charlotte, North Carolina
- 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
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
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. [... view Purview Healthcare profile ]- Location
- Lansdale, Pennsylvania
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
Simplify Your Medical Billing
Physician Billing Company ensures 99.5% collection of your billed revenue. Serving in 48 states, we are helping independent physicians & practices increase their practice revenue by up to 30%. [... view Physician Billing Company profile ]- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
We Specialize in Providing a Full Suite Of RCM & Laboratory Billing Services
We are one of the leading laboratory billing service and AR recovery services providers in the United States. We offer a comprehensive suite of profitable lab revenue cycle management. [... view Laboratorybillings profile ]- Location
- Williamsport, Pennsylvania
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
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
Comprehensive On and Offshore Business Process Outsourcing
Global Agility Solutions offers comprehensive onshore, offshore and hybrid Business Process Outsourcing (BPO) services and solutions focused on automating and advancing repeatable business operations that impact bottom line revenue. Committed to continuous process improvement, industry-leading technology and [... view Global Agility Solutions profile ]- Location
- Austin, Texas
- Number of Employees
- 500 - 999
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
Efficient Medical Billing Solutions
Blitz Medical Billing (BMB) is a locally-owned and operated medical billing company based in Frisco, Texas, offering personalized billing services to emergency medicine practices across the United States. Specializing in emergency medicine billing, it has grown from its roots as the specialty biller for a [... view Blitz Medical Billing, LLC profile ]- Location
- Frisco, Texas
- Number of Employees
- Under 49
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
Empower Your Practice with Modern Healthcare Solutions.
PrognoCIS, a division of Harris Computer has been in the electronic medical record market for over 22 years. [... view Bizmatics, Inc profile ]- Location
- Niagara Falls, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $280/hr
- We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.
We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.
We are a professional medical billing company in Connecticut revolutionizing the revenue cycle of providers through cutting-edge billing and coding services [... view Connecticut Medical Billing profile ]- Location
- Glastonbury, Connecticut
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
At RGT, we are a healthcare-focused outsourcing company.
Our mission is to empower healthcare providers with reliable, transparent, and cost-effective outsourcing solutions that enhance financial performance and operational efficiency. By focusing solely on RCM and medical billing, we aim to simplify the financial side of healthcare, allowing providers to maximize [... view RG TREND profile ]- Location
- Fresno, California
- Number of Employees
- Under 49
- 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
Streamline Your Revenue With Expert Medical Billing Services.
Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing, accurate coding, efficient submissions, denial management, centralized billing, in-depth analytics, and secure [... view Medix Revenue Group profile ]- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Our Medical Billing Company is committed to Providing
Wise Medical Billing is a U.S.-based revenue cycle management (RCM) firm that provides end-to-end billing, coding, AR recovery, credentialing and denial management services. Their certified coders and IT-driven team help healthcare practices maximize reimbursement, reduce administrative burden, and streamline [... view Wise Medical Billing Company profile ]- Location
- Newark, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Grow Your Healthcare Business With Us
At Humalife Healthcare, we go beyond expectations by delivering high-quality digital tools and services that help healthcare providers work smarter, serve better, and grow sustainably. [... view Humalife Healthcare profile ]- Location
- Claymont, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Precision Billing for Better Practice Health
Rhode Island Medical Billing is a trusted medical billing agency that partners with healthcare providers to streamline claims processing, manage accounts receivable and maximize reimbursements. The agency focuses on accuracy, compliance and efficiency to help practices improve revenue cycle management. [... view Rhode Island Medical Billing Services profile ]- Location
- Cranston, Rhode Island
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
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
Healthcare Billing & Coding Solutions
Boost revenue cycle management with Medmax Technologies LLC, a trusted us-based medical billing company. Get faster claims and higher reimbursements. [... view Medmax Technologies LLC profile ]- Location
- Flower Mound, Texas
- Number of Employees
- 100 - 249
- 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
Flexible Outsourcing for Modern Enterprises
Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock. [... view Nagog Innovation Technology Inc profile ]- Location
- Lexington, Massachusetts
- Number of Employees
- 100 - 249
- 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
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.




















































