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.
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
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
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. [... view Connexus Cure profile ]- Location
- Branchburg, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/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
- Empowering healthcare providers with financial success through efficient revenue cycle management.
Empowering healthcare providers with financial success through efficient revenue cycle management.
Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services include insurance verification, medical coding, claims processing, denial management, and A/R follow-up. [... view Global Tech Billing profile ]- Location
- Casper, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
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
The AI engineering partner that delivers
tkxel is an AI engineering partner helping businesses turn AI ambition into real, measurable outcomes. We design, build and deploy intelligent solutions, agentic systems, modernized applications and custom software that work in production, not just in pilots. [... view Tkxel profile ]- Location
- Reston, Virginia
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $35/hr
- Portfolios Count
- 10 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
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
Delivering Dependable Customer Support
We help businesses deliver fast, reliable, and professional customer support across all channels. Whether you need inbound support, outbound follow-ups, or a dedicated remote team, we tailor our services to fit your operations and scale with your growth. [... view The Acme Solutions profile ]- Location
- St. Petersburg, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Portfolios Count
- 2 Projects Listed
AI-Powered Medical Billing Company
Dastify Solutions is an AI-powered medical billing/RCM company (Austin, TX). 500+ certified experts cut errors by 99%. Full RCM, AR, & credentialing for 75+ specialties on a pay-for-paid model. Integrates with 600+ EHRs. [... view Dastify Solutions profile ]- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Outsource Bookkeeping With Expert Back-Office Support
Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave [... view Rapid Back Office LLC profile ]- Location
- Alexandria, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
- 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
We simplify your finances and help you accelerate your business
Pasquesi Partners provide full-service accounting and tax solutions to tech and agency businesses. Our mission is to help growth-stage businesses manage the comprehensive financials required to turn visions into reality. Like traditional accounting firms, we handle the basics: bookkeeping, payroll, tax [... view Pasquesi Partners profile ]- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
Back Office Support Services
Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations. [... view Outsource2india profile ]- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
Seamless Billing, Maximum Reimbursements!
AffinityCore Consulting provide expert medical billing services and medical coding services to ensure accurate claims processing, maximized reimbursements, and seamless revenue cycle management. [... view AffinityCore profile ]- Location
- Dallas, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
We Care Health Pro - Your Revenue Partner
We redefine the standards of Medical Billing Services In California (RCM), standing as a beacon of excellence in the industry. [... view We Care Health Pro profile ]- Location
- San Bernardino, California
- Number of Employees
- Under 49
Simplify Billing, Amplify Revenue.
EZ Settle Solutions is a global innovator in the fields of medical billing & coding services in USA.Get control over coding challenges, billing complexities and optimize Revenue Cycles Reduce claim denials, recover missed revenue and increase cash flow. [... view EZ Settle Solutions profile ]- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
Redefining The Way Outsourcing Works
Technodream provides high-quality, affordable web development, web design, online marketing, and call center services for businesses in the US, UK, and Australia. [... view Technodream profile ]- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Scalable 24/7 Support Teams
Quicklyster provides fully managed 24/7 customer support and Tier 1 tech support for SaaS, eCommerce, and digital-first brands. We offer free backup agents, fast deployment, native English agents, and flexible pricing all without contracts or setup fees. Whether you need live chat, phone, email, or helpdesk [... view Quicklyster Virtual Services profile ]- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $9/hr
- Minimal Budget
- $1,000 - $10,000
A Complete Healthcare Solution
DoctorPapers offers medical virtual assistants and revenue cycle management services for 50 medical specialties across the USA. Our solutions are fully HIPAA compliant and secure. [... view DoctorPapers profile ]- Location
- Glendale, California
- Number of Employees
- 50 - 99
Hire top LATAM marketing talent
Hypeify helps startups and high-growth companies scale marketing teams affordably by sourcing top-tier marketing talent from Latin America. We connect you with vetted marketing specialists in social media, paid ads, email, content, design, video, web, and analytics. With flexible plans, full onboarding [... view Hypeify profile ]- Location
- Palm Springs, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Top Trusted Medical Billing Company In USA
eClaim Solution is a leading provider of healthcare billing services in the USA, helping medical practices simplify their revenue operations with accuracy and compliance. Our team specializes in end-to-end revenue cycle management services that ensure faster payments, reduced denials, and consistent [... view EClaim Solution profile ]- Location
- Lewes, Delaware
- Number of Employees
- 100 - 249
- Minimal Budget
- $50,000 & Up
Crazy Good Outsourcing
Trupp Global: Your Trusted Partner for Back-Office Support and Customer Experience Services. [... view Trupp Global profile ]- Location
- Orlando, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Revolutionize Your Healthcare Practice.
iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software. [... view ICareBilling profile ]- Location
- Chicago, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Small Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective [... view Fred Lundin CPA LLC profile ]- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
Enabling Excellence
iQuasar, a Northern Virginia tech leader with 20+ years of experience, specializes in Software Development, AI Integration, Web & App Development, Software Team Augmentation & More. We hold an A+ BBB rating, are verified on Clutch, and have a 97% Customer Satisfaction Rating by Dun & Bradstreet. [... view IQuasar profile ]- Location
- Sterling, Virginia
- Number of Employees
- 100 - 249
- Portfolios Count
- 5 Projects Listed
Outsource Cold Calling, Sales & Support
At HomeX, we are a results-driven virtual assistant agency helping businesses across the U.S. and beyond scale faster and operate smarter. Based in Prishtina, Kosovo, we specialize in cold calling, lead generation, and customer support all delivered by trained, English-speaking virtual teams. [... view Homex Virtual Agency profile ]- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
No Stress, No Long Commitments
Unbench is a B2B hiring platform that helps companies find top tech talent quickly and cost-effectively. Instead of working with multiple recruiting agencies separately, businesses can post a single request and receive pre-screened candidates from a network of vetted recruiting partners. [... view Unbench profile ]- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Satisfied Candidates, Happy Customers
Hire Whoever, Wherever, Whenever.Easily Onboard, Insure, Pay and Manage your workforce with our all in one solution. [... view Headcount Management profile ]- Location
- Norwalk, Connecticut
- Number of Employees
- Under 49
Your Trusted Partner In Virtual Support & Business Efficiency
Prossistant is your trusted partner in business support, streamlining operations, client communication, and back-office processes. Our skilled team delivers tailored assistance across marketing, sales, administration, accounting, paralegal, and technical workflows. Integrated seamlessly into your systems, we [... view Prossistant profile ]- Location
- Madison, Wisconsin
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
Expert Medical Billing Services
MZ Medical Billing provides end-to-end medical billing services for clinics, hospitals, and multi-specialty practices across the United States. The team manages eligibility checks, coding review, claim submission, denial follow-ups, A/R recovery, and patient billing, helping providers maintain predictable [... view MZ Medical Billing profile ]- Location
- St. Petersburg, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
Top Rated Medical Billing Company
BilNow is a premier provider of end-to-end Revenue Cycle Management (RCM) solutions, dedicated to optimizing the financial health of healthcare practices. We specialize in precision Medical Coding and Billing Services, ensuring rapid claim submission and maximum reimbursement. [... view BilNow LLC profile ]- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
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 [... view RPM profile ]- Location
- San Jose, California
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
We Delivering Excellence In Every Aspect Our Their Work
Outsource Work is an Outstaffing Company specializing in Finance Recruitment and Bookkeeping Services. We help businesses hire skilled Ukrainian professionals who deliver accuracy, reliability, and cost savings of up to 70%. [... view Outsource Work profile ]- Location
- Austin, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Bringing people and technology together.
Cavinolr Recruiters specializes in connecting top-tier talent with organizations in CS, Retention , sales, life sciences, healthcare, and biotechnology sectors. The firm combines industry expertise with personalized strategies to deliver exceptional recruitment solutions tailored to clients' unique needs. [... view Cavinol Panama profile ]- Location
- Plantation, Florida
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
For Every Voice, We Deliver a Solution
We help businesses connect with their customers through fast, friendly and reliable communication. [... view Vozaa Solutions profile ]- Location
- Denver, Colorado
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
Streamlining Credentialing, Empowering Care
A leader in providing Medical Credentialing & Billing services nationwide. Our mission is to simplify the administrative challenges faced by healthcare providers. We provide credentialing services for hospitals, physician group practices, medical laboratories, skilled nursing facilities, ambulatory surgical [... view Credex Healthcare profile ]- Location
- Jacksonville, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
End-to-End Revenue Cycle Management Services (Medical Billing and Coding)
At Phyiatric, we simplify the complex. As a full-service healthcare revenue cycle management partner, we empower providers with tailored solutions that drive efficiency, optimize cash flow, reduce denials, successful claim filing, and ensure compliance - every step of the way. Our experts and technology for [... view Phyiatric LLC profile ]- Location
- Moseley, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
Best Option For Nearshore Call Center Services
We provide fully turnkey solutions handling legal setup, HR, payroll, accounting, compliance, facilities, and day-to-day supervision so our clients can focus exclusively on sales, growth, and performance. Write everything around this idea , this is the core service we offer [... view PromoCall profile ]- Location
- Chula Vista, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
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:
- 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?
BPO companies most commonly serve:
- Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development.
- Healthcare and medical billing, including claims processing, coding, and patient support.
- Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes.
- Legal services, with 68% of organizations are outsourcing legal and compliance tasks.
- Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing.
- Human resources, with 57% outsourcing HR functions such as payroll and benefits administration.
- Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making.
- Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%.
What outsourcing models do US-based companies typically offer?
They typically offer these outsourcing models:
- Onshore outsourcing with US-based teams.
- Nearshore outsourcing using teams in nearby regions.
- Offshore outsourcing for cost-sensitive, high-volume work.
- Dedicated team models for long-term operations.
- Project-based outsourcing for fixed scope work.
- Hybrid models combining multiple delivery locations and pricing structures.
How do businesses measure ROI when outsourcing to a BPO partner?
Businesses measure performance and ROI by tracking:
- Service level agreements such as response time, resolution time, and accuracy.
- Cost savings compared to in-house staffing and operations.
- Productivity metrics like volume handled per agent or per hour.
- Quality scores including error rates, compliance, and customer satisfaction.
- Revenue impact for sales, retention, or collections focused programs.
- Regular reporting, benchmarking, and quarterly performance reviews.
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.




















































