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.

United States × Insurance ×
  • Medical Billing & RCM Company For Healthcare Practices

    Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...

    Top Services:

    • Business Consulting
    • Accounting
    • BPO
    Location
    Corona, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
  • 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...

    Top Services:

    • Transcription Services
    • BPO
    • Customer Support
    • Business Consulting
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • 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...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • BPO
    Location
    Portland, Maine
    Number of Employees
    250 - 499
    Minimal Budget
    Under $1,000
  • 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...

    Top Services:

    • Mobile App Development
    • IT Services
    • BPO
    Location
    Westlake Village, California
    Number of Employees
    1000 & Up
  • We Focus On Customer Service So You Can Focus On Your Business.

    Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...

    Top Services:

    • Business Consulting
    • Call Centers
    • BPO
    • Phone Answering Services
    • Show more
    Location
    Sioux Falls, South Dakota
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $50,000 & Up
  • Nearshore bilingual call center in Bogotá. Powered by AI, led by people.

    Callzilla is a nearshore call center and BPO for US companies, founded in 2005 in Miramar, Florida. Our Bogotá team delivers bilingual English and Spanish customer support 24/7/365 on voice, chat, email and SMS, with PCI DSS, SOC 2 Type II and HIPAA compliance...

    Top Services:

    • Phone Answering Services
    • Call Centers
    • BPO
    • Customer Support
    • Show more
    Location
    Miramar, Florida
    Number of Employees
    500 - 999
  • 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...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • BPO
    • Customer Support
    • Show more
    Location
    Melbourne FL, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $29/hr
    Minimal Budget
    Under $1,000
  • 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...

    Top Services:

    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Customer Support
    • Show more
    Location
    Tupelo, Mississippi
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Congruent is the specialist partner the retirement industry trusts to be ready for tomorrow.

    Congruent Solutions has been a specialist technology solutions and outsourced plan administration provider to the retirement industry since 2004...

    Top Services:

    • Business Consulting
    • Cloud Consulting
    • AI Development
    • BPO
    • Show more
    Location
    Canada, Kentucky
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $70/hr
    Minimal Budget
    $25,000 - $50,000
  • Headquartered in Kansas City, serving the Midwest.

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

    Top Services:

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

    Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...

    Top Services:

    • Digital Strategy
    • Creative Services
    • Public Relations
    • Graphic Design
    • Digital Services
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Specialist teams for software, AI automation & BPO

    Naqvix is a technology and operations partner for US companies. Rather than one generalist bench, we run dedicated specialist teams — each led by an industry expert — under one roof: custom web and SaaS development; iOS, Android, Flutter and React Native apps; AI agents, chatbots and workflow automation;...

    Top Services:

    • Software Development
    • Web Development
    • Mobile App Development
    • AI Development
    • BPO
    • Show more
    Location
    San Ramon, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • 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...

    Top Services:

    • eCommerce Development
    • Web Development
    • Digital Marketing
    • Software Development
    • Managed Services
    • Show more
    Location
    Sugar Land, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Business, Our Solution

    VirPhone provides cloud-based business phone systems, VoIP, and UCaaS solutions designed to help companies communicate more efficiently with scalable features, advanced call handling, device flexibility, and dependable support...

    Top Services:

    • Managed Services
    • Cloud Consulting
    • Digital Services
    • IoT
    • IT Services
    • Show more
    Location
    Florence, Kentucky
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • We Create With Your Needs And Preferences In Mind.

    GoBro Web Services is a California-based web design and digital solutions agency that helps businesses strengthen their online presence through professional website design, web and app development, branding, SEO, digital marketing, and technical support services. The agency focuses on delivering modern...

    Top Services:

    • Digital Services
    • Graphic Design
    • Web Design
    • Digital Marketing
    • Email Marketing
    • Show more
    Location
    Lake Elsinore, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • 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...

    Top Services:

    • IT Services
    • Managed Services
    • AI Development
    • Software Development
    • Cloud Consulting
    • Show more
    Location
    Jersey City, New Jersey
    Number of Employees
    1000 & Up
  • Best BPO Agency in USA

    Best Data Conversion Services in USA offering secure document, PDF, image, and database conversion with fast turnaround and high accuracy...

    Top Services:

    • Graphic Design
    • Logo Design
    • Design Services
    • Digital Strategy
    • Product Design
    • Show more
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
  • 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...

    Top Services:

    • Accounting
    • BPO
    • Business Consulting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Raleigh , North Carolina
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up
  • 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...

    Top Services:

    • Software Development
    • AI Development
    • Digital Marketing
    • Mobile App Development
    • BPO
    • Show more
    Location
    Cedar Park, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

Why companies trust DesignRush

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

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
129,105+
2

Portfolio Review

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

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
69

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

See how rankings and monetization work.

BPO Services FAQs

What services do BPO companies in the USA typically provide?

US BPO providers support businesses across front-office, back-office, and operational functions, including: 

  • Customer support and call center services across phone, chat, and email. 
  • Back-office services such as data entry, billing, payroll, and document processing. 
  • Finance and accounting support, including bookkeeping, AP and AR, and reporting. 
  • Human resources outsourcing covering recruitment support, onboarding, and HR administration. 
  • IT and technical support, including help desk and application support. 
  • Sales and lead generation service,s such as appointment setting and CRM management. 
  • Marketing operations support, including campaign execution and analytics. 
  • Industry-specific services for healthcare, legal, and financial operations. 

How much does it cost to hire a BPO company in the USA?

Based on DesignRush portfolio data, hiring a BPO company in the USA costs between $90 and $100 per hour, depending on service type, specialization, and delivery model. 

Project-based pricing: 

  • Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months. 
  • Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months. 
  • Large-scale programs: $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing. 
  • Enterprise-level BPO: $1 million+ annually for high-volume, regulated, or fully managed operations. 

In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration. 

Which industries most commonly use BPO services in the US?

BPO companies most commonly serve: 

  • Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development. 
  • Healthcare and medical billing, including claims processing, coding, and patient support. 
  • Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes. 
  • Legal services, with 68% of organizations are outsourcing legal and compliance tasks. 
  • Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing. 
  • Human resources, with 57% outsourcing HR functions such as payroll and benefits administration. 
  • Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making. 
  • Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%. 

What outsourcing models do US-based companies typically offer?

They typically offer these outsourcing models: 

  • Onshore outsourcing with US-based teams. 
  • Nearshore outsourcing using teams in nearby regions. 
  • Offshore outsourcing for cost-sensitive, high-volume work. 
  • Dedicated team models for long-term operations. 
  • Project-based outsourcing for fixed scope work. 
  • Hybrid models combining multiple delivery locations and pricing structures. 

How do businesses measure ROI when outsourcing to a BPO partner?

Businesses measure performance and ROI by tracking: 

  • Service level agreements such as response time, resolution time, and accuracy. 
  • Cost savings compared to in-house staffing and operations. 
  • Productivity metrics like volume handled per agent or per hour. 
  • Quality scores including error rates, compliance, and customer satisfaction. 
  • Revenue impact for sales, retention, or collections focused programs. 
  • Regular reporting, benchmarking, and quarterly performance reviews.Â