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.
Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...
Top Services:
- Customer Support
- BPO
- Location
- Kansas City, Missouri
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
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
At Integrate Point, we specialize in empowering medical professionals with custom solutions designed to simplify and optimize medical management by ensuring regulatory compliance. Our services include medical credentialing, revenue cycle management (rcm), prior auth, practice management, healthcare digital...
Top Services:
- Digital Marketing
- BPO
- Location
- Wylie, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/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
LTCPro is a US-based healthcare outsourcing company providing revenue cycle management, medical billing, prior authorization, payroll, accounts payable, and bookkeeping exclusively for Skilled Nursing and Assisted Living facilities. Built for 25 to 50 bed operators who need specialist back-office support...
Top Services:
- Accounting
- BPO
- Location
- Pocatello, Idaho
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
MedPayersMD is an Austin, Texas medical billing and revenue cycle management company. We handle coding, claims, eligibility, denial management, AR recovery and credentialing so practices get paid right, faster. Serving physicians statewide in Texas and nationwide...
Top Services:
- Business Consulting
- BPO
- Location
- Austin, Texas
- Number of Employees
- Under 49
Decreasing costs, saving money, increasing leads, and enhancing your business: make Hit Rate Solutions your first choice for an outsourced call center!...
Top Services:
- Call Centers
- Phone Answering Services
- Customer Support
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $7/hr
- Minimal Budget
- Under $1,000
From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Top Services:
- Customer Support
- BPO
- Market Research
- Transcription Services
- Translation Services
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...
Top Services:
- Business Consulting
- Accounting
- BPO
- Location
- Corona, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
Outsourced NetSuite accounting and fractional CFO services for $5-$100M companies. Clean books, a 5-day close and the NetSuite reporting you need to drive decisions...
Top Services:
- Accounting
- Business Consulting
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
At the inception of mindStart, we asked ourselves the question “why does customer service outsourcing have such a negative connotation?” We were fed up with lousy experiences and decided to do something about it. At mindStart, our goal is to change the perception of the customer service industry by...
Top Services:
- Phone Answering Services
- BPO
- Call Centers
- Location
- Austin, Texas
- Number of Employees
- Under 49
TaskUs partners with the worlds most innovative and disruptive brands to protect what matters most and to thrive in an ever changing world...
Top Services:
- Transcription Services
- BPO
- Call Centers
- Location
- New Braunfels, Texas
- Number of Employees
- 1000 & Up
ProMantra is a US based healthcare RCM company supporting medical practices and providers across all the 50 states. Our team handles medical billing, coding, prior authorization, denail managment and End-to-End RCM services...
Top Services:
- Business Consulting
- BPO
- AI Development
- Location
- Watchung, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $10,000 - $25,000
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
AISD helps mid-market and enterprise teams build AI-powered products, agents, and workflow automations. Every project is delivered by senior engineers with proven software development and AI experience...
Top Services:
- IT Services
- Staff Augmentation
- Business Consulting
- Logistics
- BPO
- Show more
- Location
- San Francisco, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 1 Project Listed
Datamatics Digital Ltd an entity of Datamatics Global Services Ltd is a well-recognized leading data mining and application development company that delivers avant-garde software services with a specialized focus on web & mobile product engineering, application development & maintenance services...
Top Services:
- IT Services
- Big Data Analytics
- Market Research
- CRM Consulting
- Managed Services
- Show more
- Location
- Edison, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $30/hr
AmityCare empowers healthcare organizations to operate with greater alignment, accuracy, and efficiency through specialized support services. With a strong focus on medical billing, accounts receivable (AR) management, and customer service, the company ensures streamlined operations that enhance financial...
Top Services:
- Business Consulting
- BPO
- Call Centers
- Customer Support
- Show more
- Location
- Allen, Texas
- Number of Employees
- 50 - 99
GenMediTech partners with healthcare providers across the United States to simplify medical billing and strengthen revenue cycle performance. Our team delivers accurate coding, timely claims submission, denial management, credentialing, payment posting, and AR follow-up, helping practices reduce...
Top Services:
- Business Consulting
- BPO
- CRM Consulting
- IT Services
- IT Compliance Solution
- Show more
- Location
- Westwood, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $10,000 - $25,000
CCJM Solutions is a boutique IT Consulting and BPO firm located in Atlanta, Georgia. We are passionate about helping businesses modernize operations while reducing costs. Our areas of expertise includes custom software, web, and app development, cloud migrations, staffing, and compliance management...
Top Services:
- IT Services
- Software Development
- Graphic Design
- CRM Consulting
- Cloud Consulting
- Show more
- Location
- Atlanta, Georgia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $65/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Sundus is a leading global HR solutions provider with over 27 years of experience. The company is 100% Emirati-owned and managed, with a highly diversified international team that has extensive experience in human resource management. Sundus offers a comprehensive range of services that include HR outsourcing...
Top Services:
- HR Outsourcing
- BPO
- Staff Augmentation
- Business Consulting
- Logistics
- Show more
- Location
- Newark, Delaware
- Number of Employees
- 100 - 249
Online VA Team supports businesses with virtual assistant and customer service solutions. Our team helps organizations manage day-to-day administrative and client support needs with dependable, professional service...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- HR Outsourcing
- Show more
- Location
- Ann Arbor, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $7/hr
- Minimal Budget
- $1,000 - $10,000
Platonics provides cost-effective medical staffing solutions with HIPAA-trained remote staff. Build your ideal team and save up to 75% on staffing costs...
Top Services:
- Call Centers
- BPO
- IT Compliance Solution
- Transcription Services
- Phone Answering Services
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
- Minimal Budget
- Under $1,000
Offering Contact & Call Center Services. Experience is everything. At NexRep, we know that creating exceptional experiences for our Marketplace Contractors inspires them to create exceptional customer experiences...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Location
- Portland, Maine
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
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
Continental Message Solution (CMS) is an award-winning call center outsourcing company based in Columbus, Ohio. The company provides telephone customer service and live answering services to a worldwide network of clients, including numerous Fortune 500 corporations...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Location
- Columbus, Ohio
- Number of Employees
- Under 49
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
- Accounting
- HR Outsourcing
- BPO
- Location
- Syracuse, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $1/hr
We drive B2B SaaS growth with expert lead generation, appointment setting, web research, and BPO services, optimizing your sales and outreach efforts...
Top Services:
- Web Development
- Digital Marketing
- BPO
- Location
- Denver, Colorado
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
BolsterBiz specializes in offshoring services designed to optimize efficiency and boost business performance. Our tailored solutions, including 24/7 Customer Support, Digital Marketing, and Data Analytics, cater to your unique business needs...
Top Services:
- Customer Support
- Staff Augmentation
- BPO
- Location
- Wilmington, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
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
Callzilla is a nearshore call center and BPO for US companies, founded in 2005 in Miramar, Florida. Our Bogotá team delivers bilingual English and Spanish customer support 24/7/365 on voice, chat, email and SMS, with PCI DSS, SOC 2 Type II and HIPAA compliance...
Top Services:
- Phone Answering Services
- Call Centers
- BPO
- Customer Support
- Show more
- Location
- Miramar, Florida
- Number of Employees
- 500 - 999
Magellan Solutions USA delivers expert contact center and digital marketing services tailored to your business needs. From inbound and outbound support to live chat, telemarketing, and SEO, we help businesses enhance customer engagement and drive growth. As a small, minority-owned business with diverse...
Top Services:
- Call Centers
- Phone Answering Services
- BPO
- Customer Support
- Show more
- Location
- Melbourne FL, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $29/hr
- Minimal Budget
- Under $1,000
Simpalm Staffing helps U.S. businesses build reliable remote teams with vetted professionals from Latin America. It provides specialized virtual assistants, bookkeepers, virtual paralegals, and remote staff for operational support. Its hiring process combines screening with AI-assisted matching to identify...
Top Services:
- Customer Support
- Accounting
- BPO
- Staff Augmentation
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
Top Services:
- Call Centers
- Accounting
- BPO
- PPC
- Digital Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
Since 2015, SSR Techvision has provided top-quality outsourcing services, including Back Office Support, Call Center Operations, Sales & Business Development, Healthcare Support, and E-commerce Solutions, across India and the US...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Business Consulting
- Customer Support
- Show more
- Location
- Tupelo, Mississippi
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Streamsoft is a rising healthcare business consulting firm ready to deliver client-centered solutions. Our holistic business approach complete with healthcare business, IT, and marketing services gives physicians an all-in-one support team to start and maximize their healthcare service potential...
Top Services:
- Web Design
- SEO
- Digital Marketing
- BPO
- Show more
- Location
- Southlake, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
At SMB Medical Billing, we exude pride in delivering unparalleled medical billing services across Kansas. Our formidable team of 40 experts, with 27 dedicated members boasting a decade-long commitment, averages an impressive 12.5 years of experience in the intricacies of medical billing. This reservoir of...
Top Services:
- Reputation Management
- Business Consulting
- Customer Support
- BPO
- Show more
- Location
- Lee's Summit, Missouri
- Number of Employees
- 50 - 99
Trust a leadgen company that gets the pains of scaling a business. Achieve predictable growth and solid ROI while we handle the routine...
Top Services:
- Digital Marketing
- Market Research
- BPO
- Business Consulting
- Call Centers
- Show more
- Location
- Wyoming, Minnesota
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
ContactWorks is high value / high touch contact center outsourcing business that has a 20+ year history of providing great customer support. We deliver value in a wide range of services including customer service, technical support and client acquisition...
Top Services:
- Customer Support
- Managed Services
- IT Services
- BPO
- Call Centers
- Show more
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $1,000 - $10,000
SysMD delivers smart, efficient healthcare solutions through expert revenue cycle management, medical billing, credentialing, coding, and transcription services. Founded in 2020, we help medical practices boost profitability, reduce administrative burdens, and stay compliant. Our team blends deep industry...
Top Services:
- Transcription Services
- Call Centers
- Market Research
- Accounting
- BPO
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Partner with us for comprehensive business solutions. Whether you need long-term recruitment support or streamlined operational assistance, we offer tailored expertise to meet your unique requirements. Our dual-support approach ensures efficient, effective solutions that drive your business forward...
Top Services:
- Branding
- HR Outsourcing
- Web Development
- Creative Services
- Public Relations
- Show more
- Location
- Linden, New Jersey
- Number of Employees
- Under 49
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
Naqvix is a technology and operations partner for US companies. Rather than one generalist bench, we run dedicated specialist teams — each led by an industry expert — under one roof: custom web and SaaS development; iOS, Android, Flutter and React Native apps; AI agents, chatbots and workflow automation;...
Top Services:
- Software Development
- Web Development
- Mobile App Development
- AI Development
- BPO
- Show more
- Location
- San Ramon, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...
Top Services:
- eCommerce Development
- Web Development
- Digital Marketing
- Software Development
- Managed Services
- Show more
- Location
- Sugar Land, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
As a leading IT consulting and outsourcing services firm, Buchanan Technologies helps organizations across North America turn their business technology into a powerful competitive advantage. Small, mid-size, and Fortune 100 businesses all rely on us for our expert perspective, technical know-how and...
Top Services:
- Managed Services
- Cloud Consulting
- Cybersecurity
- IT Services
- IT Compliance Solution
- Show more
- Location
- Dallas, Texas
- Number of Employees
- 1000 & Up
CrecenTech is a US-based one-stop creative company to cater to your marketing, software, support, and staffing solutions requirements...
Top Services:
- Digital Strategy
- Digital Services
- CRM Consulting
- IT Compliance Solution
- IT Services
- Show more
- Location
- Exton, Pennsylvania
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Profusion Systems is a leading mobile application and software development agency that turns creative concepts into innovative, user-friendly solutions. Founded in 2012, the agency specializes in custom software, cloud migration, and chatbot development, catering to mid and large-sized businesses. With a...
Top Services:
- Software Development
- Cloud Consulting
- Mobile App Development
- Web Development
- Software Testing
- Show more
- Location
- Downers Grove, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- $10,000 - $25,000
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
Hexaware is a global technology and business process services company. Every day, Hexawarians wake up with a singular purpose: to create smiles through great people and technology. With offices across the world, we empower enterprises worldwide to realize digital transformation at scale and speed...
Top Services:
- IT Services
- Managed Services
- AI Development
- Software Development
- Cloud Consulting
- Show more
- Location
- Jersey City, New Jersey
- Number of Employees
- 1000 & Up
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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