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.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
IdeasUnlimited is a BPO with fifteen (15) years of experience in providing various BPO services...
Top Services:
- Call Centers
- Phone Answering Services
- IT Services
- BPO
- Customer Support
- Show more
- Location
- Sugar Land, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 2 Projects Listed
CareCloud, Inc. is a prominent provider of proprietary cloud-based healthcare solutions for expanding healthcare organizations. CareCloud (Nasdaq: CCLD, CCLDP, CCLDO), formerly known as MTBC, provides the most comprehensive technology-enabled solutions to healthcare organizations of all sizes and across the...
Top Services:
- Wearables
- AI Development
- Software Development
- ECM Consulting
- BPO
- Show more
- Location
- Clyde, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 8 Projects Listed
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
- BPO
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
Billing MedTech streamlines medical billing with tech-powered solutions that boost revenue, reduce denials, and simplify RCM. Supporting 80+ practices across 35+ specialties, we help healthcare providers focus on patient care while we handle billing with accuracy, transparency, and speed...
Top Services:
- BPO
- Location
- Texas City, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Answering Service Care (ASC) is a 24/7 live answering service for 3500+ businesses nationwide, serving all industries, including law firms, doctor's offices, insurance agencies, financial advising firms, and many more. ASC has over 45+ years of experience and almost 200 employees in over 3 offices located in...
Top Services:
- Phone Answering Services
- Call Centers
- Customer Support
- BPO
- Show more
- Location
- Margate, Florida
- Number of Employees
- Under 49
- Portfolios Count
- 3 Projects Listed
Enfinity Medical Billing is a healthcare revenue cycle management company that helps organizations maximize revenue and streamline operations through medical billing, transcription, credentialing, auditing, and consultation services...
Top Services:
- BPO
- Location
- East Brunswick, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Evateck is a Business Process Outsourcing (BPO) provider helping businesses scale operations through dedicated and shared teams customer support, back-office, content moderation, and data entry. Expertise across SaaS, eCommerce, fintech, healthcare, and logistics...
Top Services:
- BPO
- Customer Support
- Call Centers
- Phone Answering Services
- Staff Augmentation
- Show more
- Location
- Fort Lauderdale, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $16/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- AI Development
- Location
- Farmers Branch, Texas
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Call Centers
- Customer Support
- Phone Answering Services
- Digital Marketing
- Show more
- 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
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...
Top Services:
- BPO
- Digital Marketing
- SEO
- Location
- St. Petersburg, Florida
- Number of Employees
- 100 - 249
- Portfolios Count
- 1 Project Listed
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- Under 49
We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...
Top Services:
- BPO
- Location
- Lansdale, Pennsylvania
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
PrimeSync Solutions is a business process outsourcing (BPO) firm that helps businesses reduce costs, scale efficiently, and deliver exceptional customer experiences. Providing top-tier talent and cutting-edge technology, the firm empowers companies to overcome operational challenges while maintaining quality...
Top Services:
- BPO
- Location
- Columbus, Ohio
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
We are a full-service dental billing organization with 1,000+ professional billers and coders across the U.S., helping dental practices boost revenue, cut costs, and focus on patient care...
Top Services:
- BPO
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Claymont, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $1,000 - $10,000
Contasks is a trusted virtual assistant and back-office outsourcing provider. Originally serving transportation companies, we now support a wide range of industries from eCommerce to healthcare. Our mission is simple: cut costs, streamline operations, and help your business grow with confidence...
Top Services:
- BPO
- Location
- Dublin, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Boost revenue cycle management with Medmax Technologies LLC, a trusted us-based medical billing company. Get faster claims and higher reimbursements...
Top Services:
- BPO
- Location
- Flower Mound, Texas
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
Routine audits are key to ensuring accurate billing and regulatory compliance. At eBridge RCM LLC, we conduct comprehensive monthly billing audits designed to uncover errors, monitor performance trends, and reveal areas for operational enhancement. Our timely evaluations and easy-to-understand reports empower...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims...
Top Services:
- BPO
- Location
- Hillside, New Jersey
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Edison, New Jersey
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
U Control Billing offers professional medical coding services that ensure accurate CPT, ICD-10, and HCPCS coding for healthcare providers. Our certified coders help reduce claim denials, maintain compliance, and improve reimbursement by translating clinical documentation into precise, billable codes that...
Top Services:
- BPO
- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
MedHuts provides professional medical billing, coding, and revenue management services to help healthcare providers improve efficiency and reimbursement...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
MedsIT Nexus is a results-driven healthcare billing services and solutions partner specializing in accurate medical billing, coding, credentialing, and data-powered RCM solutions. We help healthcare providers improve collections, reduce denials, streamline operations, and achieve consistent financial growth...
Top Services:
- BPO
- Location
- Uniondale, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Richmond, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
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...
Top Services:
- BPO
- Location
- Maryland Heights, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $50,000 & Up
Connexus Cure is the medical billing company in United States helps healthcare practices get paid faster, reduce denials, and maximise revenue through expert medical billing & rcm services...
Top Services:
- BPO
- Location
- Branchburg, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements...
Top Services:
- BPO
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
CareRevenue helps dental practices optimize revenue through intelligent billing, insurance verification, and denial management. Combining automation with expert support, CareRevenue streamlines the entire revenue cycle to deliver faster payments and stronger financial outcomes...
Top Services:
- BPO
- Location
- Kissimmee, Florida
- Number of Employees
- 500 - 999
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Top Services:
- BPO
- Location
- Franklin Square, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
WeCare Billing LLC is a trusted medical billing and revenue cycle management company that helps healthcare providers maximize revenue through accurate billing, faster claim processing, proactive denial management, and compliance-focused solutions tailored to practices of all sizes...
Top Services:
- BPO
- Location
- Boynton Beach, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
1Degree Surveillance is a nationwide commercial remote video monitoring and CCTV monitoring provider that helps businesses detect, verify, and respond to security threats in real time.The service combines AI-powered threat detection with trained, U.S.-based security operators who monitor connected camera...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
US-based outsourced dental billing for practices and DSOs — insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Works inside the practice’s existing PMS. Published pricing, month-to-month, no onboarding fee...
Top Services:
- BPO
- Location
- Nashville, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
We are Providers Care Billing LLC, a medical billing company based in Illinois, USA, offering comprehensive medical billing and coding services at a competitive rate of just 2.89%. With a 4.9-star rating and outstanding client feedback, we proudly maintain a 100% satisfaction rate...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Schaumburg, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
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...
Top Services:
- BPO
- Customer Support
- Phone Answering Services
- Call Centers
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Portfolios Count
- 2 Projects Listed
At 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗖𝗮𝗿𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀, we are more than just a medical billing company, we are your trusted partner in maximizing revenue, minimizing claim denials, and streamlining your entire Revenue Cycle Management (RCM) process. With deep expertise in the...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations...
Top Services:
- BPO
- Business Consulting
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Transcription Services
- Location
- Glendale, California
- Number of Employees
- 50 - 99
.Thrive RCM is a medical billing and revenue cycle management provider specializing in services for mental health professionals, psychiatric practices, and hospitals. The company supports healthcare providers through medical billing, coding, credentialing, claims processing, denial management, payment...
Top Services:
- BPO
- IT Services
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
We provide guidance and support that acts as a seamless extension of your business. Our trained agents treat your clients with the warmth and respect they deserve, utilizing AI guidance to ensure fast, first-call resolutions without unnecessary escalations...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Palos Heights, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $14/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...
Top Services:
- Customer Support
- IT Services
- BPO
- Call Centers
- Business Consulting
- Show more
- Location
- Cheyenne, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Portfolios Count
- 1 Project Listed
ANR Medical Billing LLC is a Connecticut-based revenue cycle management company helping healthcare providers maximize reimbursements and reduce claim denials. We specialize in end-to-end medical billing, coding, credentialing, and denial management for practices across the USA...
Top Services:
- BPO
- Transcription Services
- Business Consulting
- Location
- New London, Connecticut
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Call Centers
- HR Outsourcing
- Phone Answering Services
- Customer Support
- Show more
- Location
- Chula Vista, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
First Call Solutions helps businesses grow through performance marketing, lead generation, and pay-per-call solutions. We specialize in delivering high-quality leads, inbound calls, and customer acquisition solutions across insurance, healthcare, home services, legal, and financial industries. Our focus is on...
Top Services:
- Affiliate Marketing
- CRO
- Media Buying
- Digital Marketing
- PPC
- Show more
- Location
- Houston, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Awantrix is a Texas-based enterprise technology solutions provider specializing in managed IT services, cybersecurity, connectivity, infrastructure, and unified communications. The company helps organizations improve operational efficiency, strengthen security, and scale their technology environments through...
Top Services:
- BPO
- Call Centers
- Business Consulting
- IT Services
- IT Compliance Solution
- Show more
- Location
- Dallas, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $79/hr
- Minimal Budget
- Under $1,000
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
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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.
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