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.
TechSpeed Inc is a Women Owned Technology company. Founded in 2002, it is the first AI-driven Business Process Outsourcing (BPO) provider. Pairing AI-driven technology automation and Human in the Loop support, TechSpeed enables businesses of all sizes to grow with scalable outsourcing solutions...
Top Services:
- Customer Support
- Transcription Services
- Phone Answering Services
- BPO
- Web Design
- Show more
- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $6/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
We turn every interaction into a lasting relationship. Blending global reach with local expertise, AI-driven tools, and genuine human empathy, we help businesses transform customer journeys across every channel...
Top Services:
- Customer Support
- Call Centers
- BPO
- Phone Answering Services
- Show more
- Location
- Albany, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 26 Projects Listed
ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...
Top Services:
- BPO
- Accounting
- Location
- Hillsborough Township, New Jersey
- Number of Employees
- 250 - 499
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
Leadium is a US-based B2B outbound SDR agency running cold email, cold calling, and LinkedIn programs for companies that need qualified pipeline without building an in-house team. Boutique model. 100% US-based execution. Founder-led delivery on every account...
Top Services:
- Email Marketing
- BPO
- CRM Consulting
- Business Consulting
- Direct Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Top Offshore BPO company...
Top Services:
- BPO
- Accounting
- Customer Support
- Market Research
- Web Design
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 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
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
Insurance Support World is a leading global provider of insurance back-office outsourcing solutions. Insurance Support World delivers industry and functional solutions to insurers worldwide. Our team comprises of skillful professionals who bring in deep business insight and extensive insurance domain...
Top Services:
- BPO
- Location
- Victorville, California
- Number of Employees
- Under 49
- Portfolios Count
- 5 Projects Listed
At United Alliances, we bridge the gap between busy insurance agencies and the power of remote talent. We specialize in providing highly-trained virtual assistants (VAs) with a deep understanding of the insurance industry. Our mission is to streamline your operations, enhance customer service, and free up...
Top Services:
- BPO
- Location
- Cleveland, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...
Top Services:
- Call Centers
- Phone Answering Services
- Customer Support
- Business Consulting
- BPO
- Show more
- Location
- Miami, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 4 Projects Listed
Avant Tech is an Innovation driven company operating in the US, Nigeria and the Philippines, We specialize in the recruitment of international across countries and carry our Business Process Outsourcing Services...
Top Services:
- BPO
- IT Services
- HR Outsourcing
- Managed Services
- Mobile App Development
- Show more
- Location
- Peachtree City, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/hr
- Minimal Budget
- Under $1,000
Virtual Mojoe is a one-stop solution to hiring the best virtual assistants online, who help you with all those mundane and daunting tasks so that you can achieve more by doing less and what matters most!...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Looking for new healthcare medical billing solutions? Dive into our essential guide for inclusive strategies and tips with CareMedix...
Top Services:
- BPO
- Location
- Henderson, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
MediBill RCM is leading medical billing and coding company in the U.S, based in Texas. As an accredited online medical billing and coding company in America, our certified specialists support your practice from patient arrival to payment, focusing on improving your revenue cycle management...
Top Services:
- BPO
- Business Consulting
- Transcription Services
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/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
Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently...
Top Services:
- BPO
- Location
- Bergenfield, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $10,000 - $25,000
CPA-led accounting and fractional CFO team of 75+. Books, CFO, payroll and AP/AR under one roof for healthcare, real estate, MCA and tech, nationwide...
Top Services:
- BPO
- Location
- Cedarhurst, New York
- Number of Employees
- 50 - 99
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
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
Express Virtual Assistant (EVA) is a globally managed virtual workforce solutions provider that helps businesses streamline operations through structured, performance-driven support systems. Founded in 2004 as a subsidiary of Flatworld Solutions, EVA goes beyond traditional outsourcing by offering a...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
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
Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $50,000 & Up
Behavioral Health RCM Services provide high-quality behavioral health billing services in California. At Behavioral Health RCM Services, we dont just manage billing we become a trusted extension of your team, committed to your financial success and operational efficiency...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
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
Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Web Design
- Show more
- Location
- Austin, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
Transform Targets helps organizations scale operational capacity without increasing internal overhead. We provide skilled professionals who integrate directly into existing workflows, enabling businesses to operate efficiently while maintaining full visibility and control. Our focus is simple: support the...
Top Services:
- BPO
- Customer Support
- Logistics
- Call Centers
- Business Consulting
- Show more
- Location
- McKinney, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
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...
Top Services:
- Call Centers
- BPO
- Customer Support
- Phone Answering Services
- Show more
- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
TRUCARE is a trusted medical billing and revenue cycle management company helping healthcare providers simplify billing, improve collections, and maximize revenue...
Top Services:
- BPO
- Business Consulting
- Accounting
- Location
- Bermuda Dunes, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...
Top Services:
- BPO
- Accounting
- Location
- Twentynine Palms, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
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
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...
Top Services:
- BPO
- Phone Answering Services
- Location
- South Salt Lake, Utah
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...
Top Services:
- BPO
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
.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
Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...
Top Services:
- BPO
- Digital Marketing
- Location
- Brea, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
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
Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...
Top Services:
- Customer Support
- BPO
- Business Consulting
- Accounting
- Show more
- Location
- Cranberry, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Business Consulting
- ECM Consulting
- Location
- Lewes, Delaware
- Number of Employees
- 100 - 249
- Minimal Budget
- $50,000 & Up
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
Fluency LLC provides a comprehensive suite of human-led call center services designed to bridge communication gaps and enhance customer experience. Based in Columbus, Ohio, we specialize in high-stakes environments where linguistic precision and cultural empathy are essential...
Top Services:
- Call Centers
- BPO
- Translation Services
- Customer Support
- Phone Answering Services
- Show more
- Location
- Hilliard, Ohio
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 2 Projects Listed
We help businesses connect with their customers through fast, friendly and reliable communication...
Top Services:
- BPO
- Call Centers
- Customer Support
- Phone Answering Services
- Show more
- Location
- Denver, Colorado
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/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
Day Translations is a U.S.-based language services company providing professional translation, localization, and interpreting services in 500+ languages...
Top Services:
- Translation Services
- Transcription Services
- SEO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
WGS2D is a boutique business and technology consulting firm built by experienced leaders from top-tier firms. We're known for moving fast, delivering real outcomes, and putting the client first always. What sets us apart is how we execute. We don't just advise; we own results. Our Say/Do ratio is 100%. if we...
Top Services:
- Managed Services
- Cloud Consulting
- IT Services
- DevOps Consulting
- Cybersecurity
- Show more
- Location
- Oakland, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Tazriel is a global outsourcing partner providing affordable remote service expertise for Software Development, Microsoft Power Platform automation, Mendix app Builds, Cvent event technology support, IT Administration and AI Training. With 24/7 support and cost savings of upto 70%, we help businesses...
Top Services:
- Digital Services
- Web Design
- Web Development
- Social Media Marketing
- Event Marketing
- Show more
- Location
- Springfield, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $29/hr
- Minimal Budget
- $1,000 - $10,000
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
Founded in 2020, Oversea Staffing Solutions LLC has emerged as a leading call center staffing agency in the Caribbean, bridging the gap between world-class bilingual talent and forward-thinking businesses...
Top Services:
- BPO
- Call Centers
- Market Research
- Phone Answering Services
- HR Outsourcing
- Show more
- Location
- Lithia Springs, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $11/hr
- Minimal Budget
- $1,000 - $10,000
WC Call Center excels in business-to-business (B2B) appointment setting and telemarketing, focusing on generating high-quality appointments with C-level executives. Its experienced professionals ensure each appointment meets rigorous qualification standards and drives new sales opportunities. The firm acts as...
Top Services:
- Call Centers
- BPO
- Location
- Modesto, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Beam creates generative AI agents that automate repetitive tasks, boost productivity, and empower teams to focus on strategic work. Seamlessly integrating with business applications, our AI-driven solutions enhance efficiency across Product, Sales, Marketing, HR, and beyond...
Top Services:
- AI Development
- BPO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
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
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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