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.
We Listen. We Help. We Care.
Medcare MSO is a healthcare revenue cycle management (RCM) company dedicated to enhancing the financial performance of healthcare organizations. Through the implementation of best practices and cutting-edge technology tools, we streamline processes, boost revenue, and expedite reimbursement cycles, ultimately [... view Medcare profile ]- Location
- Santa Fe, New Mexico
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
We 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
Backoffice Outsourcing Excellence
BackOffice Pro, a leader in backoffice outsourcing, enables businesses to escalate their growth. We handle non-essential parts of your operation, allowing you to focus on your core competencies. [... view Back Office Pro profile ]- Location
- Princeton, New Jersey
- 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
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
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
Trusted Medical Billing Company Across United States
AIM RCM Solutions is a trusted partner for healthcare practices looking to improve billing and revenue cycle management. [... view Aim Rcm Solutions profile ]- Location
- Albany, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
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
Leading Healthcare RCM Company in New York
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 [... view EBridgeRCM profile ]- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management
MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials [... view MedBrilliance profile ]- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Focus On Patients, Well Handle The Billing
We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims. [... view Mastermind Healthcare RCM Tactics profile ]- Location
- Hillside, New Jersey
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Your Reliable Billing Help
Liberty Liens is a reliable partner for doctors across the United States. We handle billing, lien filing, claim tracking, and day-to-day support to make the complex side of practice management easier, faster, and more dependable. [... view Liberty Liens profile ]- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Revolutionize Revenue Cycle Management For Healthcare
iSolve RCM is the best medical billing company that offers comprehensive healthcare revenue management services, with a fee as low as 2.99% of monthly collections. We serve 50+ specialties in all 50+ states. Reach out to us for expert medical billing services in USA. [... view ISolve RCM profile ]- Location
- Edison, New Jersey
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Clearing Claims. Building Confidence
U Control Billing offers professional medical coding services that ensure accurate CPT, ICD-10, and HCPCS coding for healthcare providers. Our certified coders help reduce claim denials, maintain compliance, and improve reimbursement by translating clinical documentation into precise, billable codes that [... view UControl Billing profile ]- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Medical Billing Services By MedHuts
MedHuts provides professional medical billing, coding, and revenue management services to help healthcare providers improve efficiency and reimbursement. [... view Medhuts profile ]- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
Healthcare Billing Services And Solution In USA
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 [... view MedsIT Nexus profile ]- Location
- Uniondale, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/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
Trusted Expertise Proven Results
Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary [... view Medical Lien Management, Inc profile ]- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
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
- MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements. [... view MedMaxRCM profile ]
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Get Back to What Matters Weve Got the Solution
Get Professional Medical Billing and Coding Services that eliminate headaches and maximize your Revenue. Let us handle the complexity while you concentrate on delivering exceptional care. [... view Pro MBS LLC profile ]- Location
- Webster, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
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
We serve Success
We offer 24-7 Inbound Contact Center Services that include Phone, Email, Live Chat, Text and Social Media Support Services. We also help with back-office support work including order processing, data entry and related VA tasks. [... see all Digitech Outsourcing Solution reviews ]- Location
- Rehoboth Beach, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Growth Through Servant Leadership
Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences. [... view Etech profile ]- Location
- Nacogdoches, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
Total CX and BPO Services.
ROI CX Solutions offers Total Contact Management and Business Support Services. We leverage our expertise to deliver a total package of customer care solutions and contact center services! We provide dedicated 24X7-365 outsourcing solutions. ROI CX Solutions is driven by results, whether it is maximizing your [... view ROI CX Solutions profile ]- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
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
Comprehensive Health Plan Solutions
Boon-Chapman serves clients with honesty and integrity—and that's not just a fancy slogan. Working in the best interest of our clients isn't just good business practice, it's what makes us who we are [... view Boon-Chapman profile ]- Location
- Austin, Texas
- Number of Employees
- Under 49
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
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
Do What You Do Best, Go Hire The Rest
At Go Hire Virtual, we help busy entrepreneurs and businesses scale without burnout. Our team of highly skilled virtual assistants handle the day-to-day, so you can focus on growth. [... view Go Hire Virtual profile ]- Location
- Sandy, Utah
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/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
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
Be More Efficient. Save In The Process.
Located in El Paso, Texas, DataXport (DX) is a Certified Texas State HUB and Small, Woman, & Minority Owned Enterprise specializing in Document Imaging, Electronic Document Management, Business Process Outsourcing, and IT Managed services. [... view DataXport profile ]- Location
- El Paso, Texas
- Number of Employees
- Under 49
- GHDSi is 100% focused on help desk outsourcing. We are proud to be voted a Top Workplace in 2019-20.
GHDSi is 100% focused on help desk outsourcing. We are proud to be voted a Top Workplace in 2019-20.
Global Help Desk Services, Inc. (GHDSi) provides you with enterprise quality help desk services. Many IT and business leaders want the opportunity to focus on core initiatives and just have the help desk "work"​. That's our specialty. [... view Global Help Desk Services profile ]- Location
- Hartford, Connecticut
- Number of Employees
- 100 - 249
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
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.




















































