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
41 Companies - Rankings updated: April 24, 2026
DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.
United States ×
TechSpeed Inc: Women Owned Technology Company, Pioneering AI-Driven BPO Solutions
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. [... see all TechSpeed reviews ]- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $6/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTechSpeed Services
Data sourced from the agency's DesignRush profileWACOM Hofstra Univercity Merrill Lynch C2 Financial Corporation Griflan Design Bridgetown Coffee Direct Crown Passport Unlimited
Reviews verified by DesignRush and sourced from the agency's profileTechSpeed Reviews & Testimonials
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Data Entry Review from Etienne Demeules
TechSpeed support is seamless with ongoing workflows or new ones. Using them on different files, they have great turnaround and make sure data always meets expectations
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Data Entry Review from Diane Ernstsson
TechSpeed has been a wonderful solution for our data entry needs. Their project manager is super friendly, easy to work with, extremely responsive and clear. TechSpeed swiftly got us through a rough patch when we were very backed up on data entry projects. They went above and beyond to exceed our expectations for sooner-than-expected delivery of the projects for data entry. Their QA is spot-on and very thorough. TechSpeed has been so great to work with!
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Data Entry Review from Mark Stefanski
For many years, Compology has worked with TechSpeed on image labeling, valuing TechSpeed's attention to detail and interest in optimizing processes. The client can rely on it to go over instructions, ask questions, give feedback, and train its team to follow it to a T. TechSpeed commits its time and resources to delivering great results and getting the job done well. Compology highly recommends working with the agency. (Verified via email)
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Understanding you makes us better. That is how we work smarter.
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. [... see all ARDEM Incorporated reviews ]- Location
- Hillsborough Township, New Jersey
- Number of Employees
- 250 - 499
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsARDEM Incorporated Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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BPO Project Streamlining Data Mining Services for a Financial Marketing Company 
BPO Project Transforming Survey Processing for a Marketing Consultant Health Group 
BPO Project Piloting Efficient Order Fulfillment Services 
Transactions Processing Project Accounts Payable Solution for a Large Inbound Marketing Firm 
Claims Processing Project How Process Automation is Improving Profitability at a Health Insurance Broker 
Transactions Processing Project Sustaining a Uniform Utility Process
Data sourced from the agency's DesignRush profileFinancial Healthcare Retail Manufactuing Logistics Government
Reviews verified by DesignRush and sourced from the agency's profileARDEM Incorporated Reviews & Testimonials
Outsourcing Review from Matt Venner
ARDEM created a solution for our AP workflow that integrates seamlessly into our current process. It did not require any extensive IT overhaul and is saving us quite a bit from our previous antiquated ways. Process was fast and the quality of their work is great. Highly recommend their team!
Show moreAdi S's Review Sourced from Google
I am currently working as an HR Intern at ARDEM Incorporated, and it has been a very positive learning experience for me.The organization provides a professional and supportive work environment where freshers are given the opportunity to understand real-time HR operations, recruitment processes, and employee engagement activities. The team is approachable, collaborative, and always willing to guide, which makes it easier to learn and grow.One of the key highlights is the structured workflow and clear communication, which helps in developing practical skills such as candidate coordination, documentation handling, and stakeholder interaction. The company also promotes a healthy work-life balance and encourages employees to take ownership of their responsibilities.Overall, ARDEM has been a great place to start my HR journey, helping me build confidence, enhance my professional skills, and gain valuable industry exposure.
Show morePamela Morin's Review Sourced from Google
Ardem Inc. has been a great partner for our accounts payable process. John Copeland is responsive and our analysts do a great job of following processes and communicating.
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Redefining Customer Experience
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. [... see all Top Customer Service reviews ]- Location
- Albany, New York
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 9 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTop Customer Service Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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Virtual Receptionist Project for Hospitality Company Elevating Guest Experience Through Smart Automation in Travel & Hospitality 
Outsourced Customer Support Project for Retail Company Redefining Online Shopping Experience Through Smart CX Automation in Retail & E-Commerce -thumb-webp.webp)
Outsourced Customer Support Project for Energy & Mining Company Powering Customer Trust Through Digital Experience Transformation in Energy & Utilities 
Outsourced Customer Support Project for Supplements Company Revolutionizing Policyholder Support in the Insurance Sector 
Outsourced Customer Support Project for Manufacturing Company Enhancing Customer Experience for a Manufacturing Enterprise 
Outsourced Customer Support Project for Media & Communications Company Transforming Viewer Engagement with AI-Driven Customer Experience in Media & Entertainment
Data sourced from the agency's DesignRush profileTrainual Inc 15Five ElectrIQ Marketing YCharts PERQ GMass Heinz Marketing Inc Arch-Con Corporation
Reviews verified by DesignRush and sourced from the agency's profileTop Customer Service Reviews & Testimonials
Customer Support Review from Manoj Thenua
I recently engaged a customer support provider to manage client service and support tasks for my healthcare-oriented platform. From the outset, their team was extremely professional, responsive and attentive. Their onboarding process was smooth, prompt, and well-organized. Throughout the project they handled all support tickets including account queries, billing questions, technical issues and general user guidance with empathy and clarity.What impressed me most was their commitment to quality: they consistently responded quickly to inquiries (often within minutes), maintained a helpful and courteous tone, and followed up until the users problems were fully resolved. Feedback from my users has been overwhelmingly positive: many praised how easy it was to get help and how satisfied they were with the assistance.Thanks to their efficient support, user satisfaction and retention improved noticeably compared to the period before they handled support. I also experienced fewer escalations and received fewer complaints overall. Their professionalism and consistency gave me peace of mind and freed me to focus on growing the platform rather than handling day-to-day support issues.Overall, working with them has been a very positive and productive experience the quality of support exceeded my expectations.
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Offshore Data Entry Service: Precision, Speed and Security
Top Offshore BPO company [... see all Offshore India Data Entry reviews ]- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsOffshore India Data Entry Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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BPO Project Cost Reduction Strategies: How We Help Clients Save on Operational Expenses 
Back Office Outsourcing Project Managing High-Volume Seasons: Supporting Clients During Peak Demand 
Call Centers Project 24/7 Support: Our Commitment to Ensuring Client Availability 
Medical Billing Project Crisis Management: Our Role in Supporting Clients During Challenging Times
Data sourced from the agency's DesignRush profileallianze bpo nexgen india data entry
Reviews verified by DesignRush and sourced from the agency's profileOffshore India Data Entry Reviews & Testimonials
Document Digitization Review from Lisa Rozario
We approached offshore data entry for our data entry process. They adeptly transformed our process. An excellent and efficient team, delivering quality work on time. I recommend Offshore India Data Entry for data entry requirements.
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#1 Trusted Medical Billing Company
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. [... view Billing MedTech profile ]- Location
- Texas City, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBilling MedTech Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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Medical Billing Project for Health Care Company Multi-Physician Cardiology Group Revenue Growth 
Medical Billing Project for Health Care Company Primary Care Practice Collection Growth
Data sourced from the agency's DesignRush profileDental Industry Health Care Industry Recreation & Travel Industry Insurance Industry
Reviews verified by DesignRush and sourced from the agency's profileBilling MedTech Reviews & Testimonials
Mick Fennimore's Review Sourced from Google
Their service gives me peace of mind. I know my claims are handled correctly and payments arrive on time.
Show moreRyan Collins's Review Sourced from Google
As the office manager of a clinic here in Texas, I can honestly say outsourcing was the best choice we made. The billing service has been accurate, proactive, and has given our physicians more time to focus on patient care.
Show moreBrandy Weiner's Review Sourced from Google
I run a private practice in Texas, and finding reliable support was always a challenge. Their medical billing services have taken a huge weight off my shoulders, with faster reimbursements and fewer denials than ever before.
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US-Based Outbound SDR Agency. Boutique. Multi-Channel. Real Pipeline.
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. [... see all Leadium reviews ]- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsLeadium Services
Data sourced from the agency's DesignRush profileSquare Rackspace Microsoft LG DirecTV OSRAM Time Logistics Palo Alto Networks Amada Senior Care brightwheel
Reviews verified by DesignRush and sourced from the agency's profileLeadium Reviews & Testimonials
AI Marketing Review from Scott Proffitt
Our monthly leads have gone up by 3x with Leadium. This allows us to focus on production efficiencies.
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Call Centers Review from Sam Jennings
Finding Leadium changed the way our team operates. They've been able to fill our pipeline with the people we want to talk to so we can focus on beekeeping.
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Call Centers Review from Marcos Moura
Leadium is able to speak to our prospects as if they're Amada themselves. They're filling our pipeline in a way we couldn't!
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Enfinity Medical Billing optimizes revenue with expert billing, credentialing & consulting.
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. [... view Enfinity Medical Billing profile ]- 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEnfinity Medical Billing Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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BPO Project for Legal Company Remote Financial Operations Specialist | Legal Billing Accountant
Data sourced from the agency's DesignRush profileGreenwood Family Dentary City Urgent Care Malibu Medical Group Alternative Care Physical Therapy Rangel Dental Madison Dental
Reviews verified by DesignRush and sourced from the agency's profileEnfinity Medical Billing Reviews & Testimonials
Masaud Khan's Review Sourced from Google
As a healthcare provider, I have greatly benefited from Enfinity Medical Billing, both personally and for my clinic. They have made a significant positive impact on my practice, streamlining my work and making my professional life much easier.
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Precision Billing, Maximum Revenue, Minimal Risk.
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. [... see all SwiftCare Billing LLC reviews ]- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSwiftCare Billing LLC Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
View Full Portfolio-processing-File-indexing-and-document-management-thumb-webp.webp)
BPO Project for Health Care Company Follow-Up, Indexing and AR 
Medical Billing Project for Health Care Company Revenue Cycle Managment 
Back Office Outsourcing Project for Health Care Company Revenue Cycle Managment
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Insurance Industry HR Industry BPO Outsourcing Medical Billing
Reviews verified by DesignRush and sourced from the agency's profileSwiftCare Billing LLC Reviews & Testimonials
Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
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Powering Insurance Processes
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 [... view Insurance Support World profile ]- Location
- Victorville, California
- Number of Employees
- Under 49
- Portfolios Count
- 5 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsInsurance Support World Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
View Full Portfolio-thumb-webp.webp)
BPO Project ISW-Enabled Process Automation: Increased Capacity by 15% and Saved $5Mn -thumb-webp.webp)
BPO Project ISW Streamlines Certificate of Insurance Issuance Process with Automation & Robotics -thumb-webp.webp)
BPO Project ISW Drives a 17% Sales Boost, Enhanced Compliance Scores, and Increased Capacity for an Insurance Agency 
Claims Processing Project Accelerated Claims Processing: ISW Reduces Settlement Time by 35% and Boost Debt Recoveries by 25% -thumb-webp.webp)
Back Office Outsourcing Project Unleashed Profitability: ISW's Success in Delivering 60% Cost Savings for an Insurance Wholesaler
Data sourced from the agency's DesignRush profileFinance Industry Insurance Industry Legal Industry
Bridging Remote Talent, Boosting Insurance Agencies
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 [... view United Alliances profile ]- Location
- Cleveland, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsUnited Alliances Services
Data sourced from the agency's DesignRush profilePinnacle Alliances Hotchpotz BRIM
You Create, We Support.
MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success. [... see all MiXBS, LLC reviews ]- Location
- Miami, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 4 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMiXBS, LLC Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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BPO Project for Music Company Customer support 
BPO Project for Media & Communications Company CDEK -thumb-webp.webp)
BPO Project for Entertainment Company Email support 
BPO Project for Manufacturing Company Market Research
Data sourced from the agency's DesignRush profileCDEK Buch Ramayoga Imark Tech SovPlym KNOVR
Reviews verified by DesignRush and sourced from the agency's profileMiXBS, LLC Reviews & Testimonials
Customer Support Review from Kevin Swindlehurst
If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.
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Fastest and Reliable Recruitment Agency in Nigeria, and Georgia (USA)
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. [... see all Avant Tech reviews ]- Location
- Peachtree City, Georgia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAvant Tech Services
Data sourced from the agency's DesignRush profileIBM Zoho Corporation Datalogic Ascendum Freddie Mac
Reviews verified by DesignRush and sourced from the agency's profileAvant Tech Reviews & Testimonials
IT Staffing Review from Kingsley C. Maduagwu
Avant Tech Nigeria, helped our company recruit 20 digital marketing specialists to aid business growth
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Rise to Maximize Forever
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! [... view Virtual Mojoe profile ]- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsVirtual Mojoe Services
Data sourced from the agency's DesignRush profileAppedology Medical lien Management GreenSense Billing
Healthcare Medical Billing Solutions in USA | CareMedix
Looking for new healthcare medical billing solutions? Dive into our essential guide for inclusive strategies and tips with CareMedix. [... view CareMediX profile ]- Location
- Henderson, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCareMediX Services
Data sourced from the agency's DesignRush profileBlueClays UK P3Care Healthcare Solutions
Enhancing Healthcare Rcm With Superior Accuracy and Efficiency
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. [... view MediBill RCM profile ]- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMediBill RCM Services
Data sourced from the agency's DesignRush profileHealth Care Industry Insurance Industry Wellness & Fitness Industry
Reviews verified by DesignRush and sourced from the agency's profileMediBill RCM Reviews & Testimonials
Jaqueline Ortiz's Review Sourced from Google
They are amazing I have been working with them for almost 3 years now and they are very good at communicating their needs and questions. Also very good at keeping all work in track and amazingly professional.
Show moreSulaimon Bakre's Review Sourced from Google
I have been utilizing their virtual assistant service and the assistant has been very dependable, punctual and very respectful towards my patients. Patients also give positive feedback as well. I will highly recommend.
Show moreGianni Leano's Review Sourced from Google
I’ve had an outstanding experience with this medical billing, coding, and credentialing team. They are incredibly knowledgeable, detail-oriented, and efficient. Their communication is clear and timely, and they’re always available to answer questions or provide updates. It's a huge relief to have a team we can fully trust with such an important part of our practice. Highly recommend!
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Top-rated Medical Billing Company in the USA
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. [... view Transcure profile ]- Location
- Farmers Branch, Texas
- Number of Employees
- 1000 & Up
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTranscure Services
Data sourced from the agency's DesignRush profileHarding Memorial Healthcare Wilson Creek Internal Medicine Group | MountainView Regional Medical Center Bingham Memorial Hospital Panda Pediatrics and Adolescent Care
Reviews verified by DesignRush and sourced from the agency's profileTranscure Reviews & Testimonials
Amber Nestor's Review Sourced from Google
We’ve had a great experience working with Transcure. Their team is consistently responsive and attentive to our needs. Whether it’s gathering reports on short notice or addressing questions quickly, they’ve always gone above and beyond to support us. Their professionalism and reliability have made a significant difference in our operations. Highly recommend!
Show moreEmily Liu's Review Sourced from Google
We've had a great experience working with Transcure Medical Billing. Communication is always clear and timely. Their team is knowledgeable, responsive, and efficient in handling our billing needs. While there's still a little room for improvement in reporting details, overall they've been a valuable partner in supporting our practice's growth. Would definitely recommend their services to other healthcare providers!
Show moreMatt Loudin's Review Sourced from Google
We have been utilizing Transcure's services. We are very pleased, and Transcure has exceeded our expectations. They are the best in the industry.
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Offshore Online Data Entry
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. [... view Offshore Online profile ]- Location
- Bergenfield, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsOffshore Online Services
Data sourced from the agency's DesignRush profileIT Industry Retail Industry Financial Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsContasks Services
Data sourced from the agency's DesignRush profileConsumer Goods Industry eCommerce Industry Hospitality Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMedsIT Nexus Services
Data sourced from the agency's DesignRush profileHealth Care Industry Finance Industry Dental Industry
- 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMedMaxRCM Services
Data sourced from the agency's DesignRush profileHealth Care Industry Wellness & Fitness Industry Insurance Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsROI CX Solutions Services
Comprehensive analysis done by DesignRush Agency Experts.Clients and Projects
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Inbound Call Centers Project CUSTOMER SERVICE SUPPORT / CARE 
Survey Companies Project MARKET RESEARCH SURVEYS 
Outbound Call Centers Project CALL CENTER OUTSOURCING
Data sourced from the agency's DesignRush profileHello Fresh SAMSUNG TSA PRE Panera VISA
Reviews verified by DesignRush and sourced from the agency's profileROI CX Solutions Reviews & Testimonials
Mr. John's Review Sourced from Google
If you're considering working at Connexus Resource Group, brace yourself for an exhausting, demoralizing experience that will leave you burned out, underpaid, and questioning your life choices. This company operates like a modern-day sweatshop, exploiting employees with unrealistic expectations, pitiful wages, and a toxic work environment that prioritizes profits over people. The workplace culture is cutthroat and demeaning. Supervisors hover like prison guards, scrutinizing every call and nitpicking minor mistakes. Instead of support, you get constant criticism, with the ever-present threat of write-ups or termination if you don’t meet impossible metrics. Favoritism runs rampant, and HR exists only to protect the company—not the employees. Don’t be fooled by empty promises of "career advancement." Promotions are reserved for management’s favorites, while everyone else is stuck in the same dead-end role. Training is minimal, and turnover is sky-high because people either quit from exhaustion or get fired for not meeting unrealistic expectations. In conclusion, Connexus Resource Group is a call center nightmare—a place where employees are treated like cogs in a machine, worked to the bone, and discarded without a second thought. If you value your mental health, dignity, or fair pay, steer clear. There are better jobs out there—this one isn’t worth the suffering.
Show moreValupack Gaming's Review Sourced from Google
Working on the same position for over a year, being told I'm one of their best agents and never getting a raise and overall being treated like I don't actually matter. Would never recommend working for them to even my most hated enemy.
Show moreAlece Peterson's Review Sourced from Google
I would avoid working here if you can. I worked here for 5 years, and really hated it. Tried to find other work and was unable to for a long time. I ended up quitting because they were going to demote me after being a Team Lead for about 4.5 years. It was really disappointing and heartbreaking, especially since I loved my team of agents. The first couple of years were good, but after a while it just became unbearable. The last campaign I was on, Solutran, literally sucked the life out of me. My supervisor and my agents were great, but I had to fight for my agents to be treated fairly.The company goes by Connexus Resource Group now, they merged with a few other call centers in 2021. One good thing I can say about the merger was we were finally able to get PTO after not having any paid time off at all. The pay here sucks, I was only making $15.50 for being a team lead, and that was only after 5 years of tenure. Most agents were making around $11.50 to $13. It's very hard to get raises here, so if you want to work here and not be compensated properly this might be the right place for you. Avoid this place, it will only ruin your mental health and cause you more suffering.
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Exceed Your Expectations!
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 [... view Cover Operation profile ]- Location
- Twentynine Palms, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCover Operation Services
Data sourced from the agency's DesignRush profileRetail Agency Wholesale Broker MGA & Carrier
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDoctorPapers Services
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Insurance Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountseClaim Solution Services
Data sourced from the agency's DesignRush profileDental Industry Health Care Industry Wellness & Fitness Industry
Reviews verified by DesignRush and sourced from the agency's profileeClaim Solution Reviews & Testimonials
David Turner's Review Sourced from Google
Working with eClaim Solution has been a smooth experience, they handle our billing issues efficiently and always keep us informed.Thanks for partnering with us!!
Show moreDr William's Review Sourced from Google
eClaim Solution has been an incredible support for our clinic. Their billing team understands healthcare workflows better than any company we’ve worked with. They cleaned up our claims, handled authorizations on time, and drastically reduced denials. Our revenue cycle is finally stable, and we can focus on patient care instead of paperwork
Show moreMatthew Reed's Review Sourced from Google
My experience with eClaim Solution has been outstanding. They took charge of my credentialing and made the entire process seamless. They were the only company I interviewed that truly understood my needs as a small practice. I now trust them with upcoming billing tasks too. Worth every penny.
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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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsGo Hire Virtual Services
Data sourced from the agency's DesignRush profileDash Surface Solutions Red Rocks Construction
Reviews verified by DesignRush and sourced from the agency's profileGo Hire Virtual Reviews & Testimonials
Msingi wa Natural's Review Sourced from Google
Working with Eron has been a great experience. As a business owner, there are always a lot of moving parts, and he stepped in and helped relieve some of that pressure. He’s assisted with client communication, scheduling, and outreach which has helped free up my time to focus on growth and strategy. He is responsive, dependable, and eager to improve. I appreciate the support he has provided to my business.
Show moreJayk Speth's Review Sourced from Google
For years I’ve been struggling to have engaging social media content and to grow my brand. I came into contact with Brian at a networking group and he informed me about the different tasks virtual assistants can do, including social media content creation and marketing. I then began the process of interviewing different assistants that would be compatible for what I was looking for. Go Hire Virtual introduced me to Stephany Miquilena and we instantly connected. She had some experience with other musicians which gave me the confidence that she would be able to identify and deliver exactly what I needed. Within our first month working together we were creating viral content and my social media grew exponentially more than it had in years past. I have felt support from everyone at Go Hire Virtual and they have been prompt to address my concerns as they come up.
Show moreLei Corbeza's Review Sourced from Google
The Boot Camp Training was very helpful and well-structured. It boosted my confidence and prepared me for real client scenarios. The client pairing process was smooth and organized, making the transition easy. Overall, it was a positive and valuable experience.
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For Every Voice, We Deliver a Solution
We help businesses connect with their customers through fast, friendly and reliable communication. [... view Vozaa Solutions profile ]- Location
- Denver, Colorado
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsVozaa Solutions Services
Data sourced from the agency's DesignRush profileMilestone Constraction Liku Transportation Naseba Animal Nutrition
Best Option For Nearshore Call Center Services
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 [... view PromoCall profile ]- Location
- Chula Vista, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsPromoCall Services
Data sourced from the agency's DesignRush profileContempo Counseling Lenditup Protect Environmental
Your business now has global specialists!
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 [... view Tazriel profile ]- Location
- Springfield, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $29/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTazriel Services
Data sourced from the agency's DesignRush profileSelam & GO AddisSky Selam & Orbit
Leading Virtual Assistant Services Provider
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 [... view Express Virtual Assistant profile ]- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsExpress Virtual Assistant Services
Data sourced from the agency's DesignRush profileeCommerce Industry Real Estate Industry Software & IT Services Industry
Intelligent Automation, Maximum Productivity.
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. [... view Beam AI profile ]- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBeam AI Services
Data sourced from the agency's DesignRush profileAvi Medical Dutch Insurance German Manufacturing
- 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. [... view SmartPA profile ]
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSmartPA Services
Data sourced from the agency's DesignRush profileCox-London Complete Refinish Collette CWMedia Krispy Kreme Total Oil and Gas
Reviews verified by DesignRush and sourced from the agency's profileSmartPA Reviews & Testimonials
Vicky Grobbelaar's Review Sourced from Google
Mandy has been a huge asset to Ethiqs and a lovely person to work with, efficient and friendly and a great team backing her. Highly recommended.
Show morePedro Mendoza's Review Sourced from Google
Holly has been a great help recently both in terms of my business and personal affairs. I am in the process of making some business structure changes in my private dental practice and she has assisted me with all the lengthy paperwork, ensuring that everything is in order. In addition, she has assisted me in researching properties and locations. I would not hesitate in recommending her services as her support has been invaluable to me at this extremely busy time and has allowed me to focus on my patients.Highly recommended +++++
Show moreAlexandra Stewart's Review Sourced from Google
Terri has been an incredible SmartPA assistant for our family over the past 18 months. Her support has been invaluable in managing our busy work and home administrative tasks. Throughout our travels across Europe, the US, and Canada, as well as during our recent move to a new house and country, Terri has been there for us every step of the way. In particular, I have appreciated that Terri has used great judgment in assessing options on all fronts and hasn't just gone for the easy road of blindly following orders. I have trusted her as a "second me" and that has been so helpful. We couldn't have done any of this without her!
Show more
Efficient, Customized Services For Healthcare Providers Treating Injured Workers
Medrina Technology Management specializes in workers' compensation billing, collections, lien management, and medical transcription. We streamline revenue cycles, reduce administrative burdens, and ensure compliance, enabling healthcare providers to focus on patient care while we handle billing complexities. [... view Medrina Technology Management Pvt Ltd profile ]- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMedrina Technology Management Pvt Ltd Services
Data sourced from the agency's DesignRush profileWorkMed California, APC Synapse Orthopedic Group Medvantage Orthopedic LLC Bionix Pharmacy
Human-Focused.
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. [... view NexRep profile ]- Location
- Portland, Maine
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsNexRep Services
Data sourced from the agency's DesignRush profileSprint Marmot Glossier.
Bringing Business Services To Cloud Precision
eNoah iSolution is a global IT and BPO services firm with over 18 years in operation. Certified in ISO27001 (and HIPAA compliant), the company employs more than 1,800 professionals across six countries. It supports clients in over 20 verticals including several Fortune500 companies offering secure business [... view ENoah ISolutions Inc profile ]- Location
- Westlake Village, California
- Number of Employees
- 1000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountseNoah iSolutions Inc Services
Data sourced from the agency's DesignRush profileQAD Consulting ExamOne, A Quest Diagnostics Company Boston National Title Agency
Empowering Growth with Expert Contact Center & Digital Solutions Tailored to Your Needs
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 [... view Magellan Solutions USA profile ]- Location
- Melbourne FL, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $29/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMagellan Solutions USA Services
Data sourced from the agency's DesignRush profileUS Department of Veterans Affairs US Department of Treasury North Texas Tolling Authority San Francisco Municipal Transportation Agency Service One of Brevard TMS Insurance Brokerage
Reviews verified by DesignRush and sourced from the agency's profileMagellan Solutions USA Reviews & Testimonials
Alex Lavarsse's Review Sourced from Google
super attentive, helped me a lot when I needed it most, I highly recommend it, excellent professional, I would give 1000 stars
Show more
World-class outbound solutions in the US
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. [... view SSR Techvision profile ]- Location
- Tupelo, Mississippi
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSSR Techvision Services
Data sourced from the agency's DesignRush profileSaiVa System Deebaco Absolute Health Agents
Reviews verified by DesignRush and sourced from the agency's profileSSR Techvision Reviews & Testimonials
kratika singh's Review Sourced from Google
“Great company for work. Management is so supportive and having friendly environment.”Salary and incentives are generally paid on time, and in many cases are substantial.“On‑time salary and huge incentives are paid to almost everyone here.”Employees value flexible timings, project bonuses, and transport perks like one‑way cab services.
Show moreDeepak Kanojia's Review Sourced from Google
✅ Review as an Employee:⭐️⭐️⭐️⭐️⭐️"Excellent workplace for growth and learning!"I worked at SSR Techvision Pvt. Ltd. and had a great experience. The work environment is very positive, with supportive management and a strong focus on training and employee development. It's a great place to start or grow your career in the BPO sector. The HR team is helpful, and the company culture promotes teamwork and responsibility.
Show more
Expert Guidance for Sustainable Growth
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 [... view Murkez Technologies profile ]- Location
- Sugar Land, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMurkez Technologies Services
Data sourced from the agency's DesignRush profileHealth Care Industry Insurance Industry Real Estate Industry
Create smiles through great people and technology
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. [... view Hexaware Technologies profile ]- Location
- Jersey City, New Jersey
- Number of Employees
- 1000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHexaware Technologies Services
Data sourced from the agency's DesignRush profileMobility and alternative energy company Corporate legal services company Renowned hotel and hospitality chain Leading US based global airline
Reviews verified by DesignRush and sourced from the agency's profileHexaware Technologies Reviews & Testimonials
Saad Shaikh's Review Sourced from Google
Laid me off with no reason, they won’t stand up for you as MSP, won’t fire the manager who doesn’t show up most of the time but will fire people who show up on time and do their job right. Worse company to work with. Was promised to fined me a different position but never heard from themI worked for more than a year.
Show moreHarsh's Review Sourced from Google
Literally one of the worst companies that ever takes any interview. Asks technical questions that are completely irrelevant to the client requirements and are extremely rude and condescending, and also expect you to write coding solutions for their questions under 5 minutes. Next time their recruiters start calling me again, I’m blocking them
Show more
Qualified Appointments for Sales Success
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 [... view WC Call Center profile ]- Location
- Modesto, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsWC Call Center Services
Data sourced from the agency's DesignRush profileEmergent Insurance Solutions The Hier Agency Preston Insurance Agency
Driven by Excellence
iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on [... view IRapidO Global profile ]- Location
- Raleigh , North Carolina
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $50,000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsiRapidO Global Services
Data sourced from the agency's DesignRush profileFinance Insurance Health Care
Reviews verified by DesignRush and sourced from the agency's profileiRapidO Global Reviews & Testimonials
Nurse Gigs's Review Sourced from Google
iRapidO offers top-quality services with impressive speed and professionalism. Their team handles projects efficiently and ensures consistent, high-value results. Great service experience with strong reliability—definitely recommended for businesses needing fast and dependable solutions.
Show moreDriver Gigs's Review Sourced from Google
iRapidO delivers outstanding quality and services. The team is highly professional, fast, and reliable, providing excellent results every time. Their support, pricing, and overall service experience make iRapidO one of the best choices for businesses. Highly recommended!
Show moreAbhishek Pal vlogz's Review Sourced from Google
I had a great experience working with iRapidO Global. The team is professional, responsive, and truly understands business needs. They deliver quality work on time and make collaboration smooth and efficient. I’m impressed with their expertise in global capability centers and how seamlessly they handle operations. Highly recommend them to any company looking for a reliable and experienced partner.
Show more
Transform Your Business With Artificial Intelligence
Cognic Systems, your trusted Digital Transformation Enabler! At Cognic, we are committed to driving innovation and excellence as we embark on a transformative journey together. Our expertise in Mobile app development, Software solutions, Robotic process automation (RPA), MS Power Plateform and digital [... view Cognic Systems profile ]- Location
- Cedar Park, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCognic Systems Services
Data sourced from the agency's DesignRush profileMunshijee Allova Solutions HTC
Reviews verified by DesignRush and sourced from the agency's profileCognic Systems Reviews & Testimonials
Shraddha Mirajkar's Review Sourced from Google
It has been my absolute pleasure working at Cognic as a BA.Cognic exceptionally strives in bringing out the best in every team member.Where efforts are not only bound to be recognised but also appreciated!Indeed a great place to grow on both professional as well as personal fronts!!
Show moreHradayesh Roy's Review Sourced from Google
IT is all about you problem being solved with the right technology and they know how to do it. A big team with a great experience in Information technology and softwares.
Show moreSimantika Priyadarsini's Review Sourced from Google
It's a new start up company with good business opportunity. It's employee friendly organisation with good hr culture . It's giving employment opportunities to the local talented youth giving a new ray of hope for start ups at Jabalpur.
Show more
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:
- 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.
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.
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