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.
The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...
Top Services:
- BPO
- HR Outsourcing
- Phone Answering Services
- Customer Support
- Call Centers
- Show more
- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
We provides top-class offshore SEO virtual assistants. Hire individually or build your SEO team to be your industry's organic leader. When you need SEO support to assist with your businesss organic growth, our SEO VAs are available on an hourly, part-time, full-time, project-based, or monthly basis...
Top Services:
- SEO
- BPO
- Location
- Santa Fe, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...
Top Services:
- Business Consulting
- BPO
- Location
- Fort Worth, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
ScribeEMR provides AI-assisted and human medical scribing services that help healthcare providers reduce documentation burden and focus more on patient care. Our trained medical scribes work in real time to capture clinical encounters, maintain accurate electronic health records, and ensure HIPAA-compliant...
Top Services:
- Transcription Services
- BPO
- Location
- Woburn, Massachusetts
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Xassure by eDesk is a trusted customer support and back-office solutions provider helping businesses deliver exceptional customer experiences. We specialize in chat support, email support, voice support, and administrative services designed to reduce workload and improve operational efficiency...
Top Services:
- SEO
- Email Marketing
- Branding
- Digital Marketing
- PPC
- Show more
- Location
- Simi Valley, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
We are dynamic and versatile team of digital marketing experts who bring together diverse talents and experiences to deliver exceptional results for our clients...
Top Services:
- SEO
- PPC
- Social Media Marketing
- Video Production
- BPO
- Show more
- Location
- Los Angeles, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
AnnexMed is a premier RCM & healthcare payer services firm, founded in 2004. We deliver measurable results streamlining operations, cutting costs, and boosting revenue underpinned by deep expertise and a 99.1% client retention rate...
Top Services:
- BPO
- Location
- Salt Lake City, Utah
- Number of Employees
- 1000 & Up
Virtustant places pre-vetted Latin American professionals with US companies and never charges recruitment fees: clients pay only the hire's salary, payroll and compliance included. Shortlists arrive in 48 hours, average time-to-hire is 3 days, and every placement carries a lifetime replacement guarantee...
Top Services:
- HR Outsourcing
- BPO
- Customer Support
- Phone Answering Services
- Accounting
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Revele is a leading provider of healthcare revenue cycle and electronic health record services...
Top Services:
- Business Consulting
- Call Centers
- BPO
- Location
- Indianapolis, Indiana
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $35/hr
Customer Direct answers your calls and gives you answers about your business. What makes us unique: we analyze every single interaction, not just a small sample like most call centers...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- AI Development
- Show more
- Location
- Maryland Heights, Missouri
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...
Top Services:
- Business Consulting
- Call Centers
- BPO
- Phone Answering Services
- Show more
- Location
- Sioux Falls, South Dakota
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
GetNuva connects businesses in the USA with exceptional virtual assistants worldwide. Boost your productivity, drive growth, and embrace diversity with our cost-effective solutions. Lets transform your business together...
Top Services:
- HR Outsourcing
- Content Marketing
- Graphic Design
- Market Research
- BPO
- Show more
- Location
- West Hartford, Connecticut
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Without an expert SEO partner, your online business risks losing visibility. Your website may fail to rank well in search engine results pages (SERPs), resulting in lower organic traffic and missed opportunities. Moreover, choosing the right SEO Agency in USA or working with a reliable SEO Company in USA...
Top Services:
- Web Design
- Web Development
- Cloud Consulting
- Business Consulting
- BPO
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- Location
- Houston, Texas
- Number of Employees
- 50 - 99
- Minimal Budget
- $1,000 - $10,000
Include Work helps founders and teams save time and scale faster with expert Virtual Assistant and back-office support. With 100+ skilled VAs, we deliver reliable, high-quality solutions for admin, marketing, design, and research...
Top Services:
- IT Services
- CRM Consulting
- Digital Services
- UI/UX Design
- Digital Marketing
- Show more
- Location
- Albuquerque, New Mexico
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $7/hr
- Minimal Budget
- Under $1,000
Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...
Top Services:
- Digital Strategy
- Creative Services
- Public Relations
- Graphic Design
- Digital Services
- Show more
- Location
- El Paso, Texas
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...
Top Services:
- Accounting
- Market Research
- Business Consulting
- Call Centers
- BPO
- Show more
- Location
- Delaware City, Delaware
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $400/hr
- Minimal Budget
- $1,000 - $10,000
VirPhone provides cloud-based business phone systems, VoIP, and UCaaS solutions designed to help companies communicate more efficiently with scalable features, advanced call handling, device flexibility, and dependable support...
Top Services:
- Managed Services
- Cloud Consulting
- Digital Services
- IoT
- IT Services
- Show more
- Location
- Florence, Kentucky
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
GoBro Web Services is a California-based web design and digital solutions agency that helps businesses strengthen their online presence through professional website design, web and app development, branding, SEO, digital marketing, and technical support services. The agency focuses on delivering modern...
Top Services:
- Digital Services
- Graphic Design
- Web Design
- Digital Marketing
- Email Marketing
- Show more
- Location
- Lake Elsinore, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
TransData is a global technology and AI services company helping organizations build, modernize, and operate software, data, AI, automation, cloud, and managed operations...
Top Services:
- IT Services
- Cloud Consulting
- DevOps Consulting
- AI Development
- Software Development
- Show more
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
MNM Digital Agency in Hanover, MD helps local businesses grow with SEO, Google Business optimization, and high-converting websites. We focus on improving rankings, increasing visibility, and generating real leads through smart digital marketing strategies...
Top Services:
- Digital Services
- Web Development
- eCommerce Development
- WordPress Website Design
- SEO
- Show more
- Location
- Maryland City, Maryland
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...
Top Services:
- Call Centers
- Location
- Tucson, Arizona
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Right on Time Billing Services is a Houston-based medical billing company offering coding, claims submission, and full revenue cycle management. We help Home Health, Hospice, and Behavioral Health practices reduce denials and increase revenue...
Top Services:
- Customer Support
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $9/hr
- Minimal Budget
- $1,000 - $10,000
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: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
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