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.

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  • Hire A Remote AI Specialist, Not Another VA Stuck In 2015.

    We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...

    Top Services:

    • BPO
    Location
    Clearwater, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Dedicated virtual assistants, fully vetted and fully managed.

    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
  • Elevating Business Efficiency. Driving Success.

    SkyTech Global is a Bangladesh-based global delivery, business process, and technology company powering scalable operations worldwide.Formerly SkyTech Solutions...

    Top Services:

    • BPO
    • Customer Support
    • Call Centers
    Location
    Los Angeles, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Your AI & Digital Transformation Partner

    At Bitwords, we drive growth by leveraging AI and advanced digital transformation across the contech, fintech, and e-commerce industries. We specialize in creating seamless, tech-forward experiences that connect brands with their customers, optimize complex ecosystems, and maximize market opportunities...

    Top Services:

    • Design Services
    • Digital Strategy
    • eCommerce Development
    • Web Development
    • AI Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    3 Projects Listed
  • Helping Jacksonville & St. Augustine small businesses get found on Google, Google Maps and AI

    Grow Local Flow helps Jacksonville and St. Augustine small businesses rank higher in Google Maps and the Local 3-Pack. We specialize in Local SEO, Google Business Profile optimization, custom website design, AI search optimization (GEO), and Google Ads.Services include on-page SEO, schema markup, citations...

    Top Services:

    • Digital Services
    • Digital Strategy
    • Web Design
    • Web Development
    • Digital Marketing
    • Show more
    Location
    Saint Johns, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Calls answered. Insight delivered.

    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
  • We Focus On Customer Service So You Can Focus On Your Business.

    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
  • Headquartered in Kansas City, serving the Midwest.

    360 Automation AI develops custom AI agents and automates complex workflows to help businesses save time, reduce operational costs, and increase revenue...

    Top Services:

    • AI Development
    • Business Consulting
    • AEO
    • BPO
    • Software Development
    • Show more
    Location
    Kansas City, Missouri
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • StreamRCM

    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
  • Lighting The Way for Stronger BusinessDecisions

    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
  • Mortgage Due Diligence & Appraisal Management

    Lenders Allies is a mortgage services company providing appraisal management, mortgage due diligence, quality control, and related solutions to lenders, investors, and financial institutions...

    Top Services:

    • Business Consulting
    • Market Research
    • Accounting
    • Phone Answering Services
    • Transcription Services
    • Show more
    Location
    Tampa, Florida
    Number of Employees
    250 - 499
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
129,105+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
11

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

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.Â