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 × Other ×
  • 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...

    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
  • 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...

    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
  • You Have the Plans. We Have the People. Lets Grow Together.

    EBQ is an outsourced sales and marketing organization that provides services to help companies scale...

    Top Services:

    • BPO
    • Call Centers
    • CRM Consulting
    • Customer Support
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    5 Projects Listed
  • Flexible Outsourcing for Modern Enterprises

    Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock...

    Top Services:

    • BPO
    Location
    Lexington, Massachusetts
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Support You Can Trust. Results You Can Measure.

    Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...

    Top Services:

    • BPO
    • Business Consulting
    • Branding
    • Logo Design
    • Show more
    Location
    Terra Alta, West Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $38/hr
    Minimal Budget
    Under $1,000
  • Hire Exceptional Remote Talent In Latin America

    Hire With Near is a staffing and recruiting agency that helps US companies build remote teams in Latin America across all departments. You get one dedicated recruiter who learns your business, sources against your requirements, and stays your point of contact after the hire. We handle sourcing, screening...

    Top Services:

    • HR Outsourcing
    • Staff Augmentation
    • BPO
    Location
    San Antonio, Texas
    Number of Employees
    50 - 99
    Portfolios Count
    1 Project Listed
  • Multi Channel eCommerce Management Specialists

    Aurexis Global Commerce helps brands, sellers, retailers, and growing online businesses manage the operational side of e-commerce. From product catalogs and marketplace listings to multi-channel store support, our hands-on team helps keep e-commerce operations accurate, organized, and scalable across Shopify...

    Top Services:

    • BPO
    • eCommerce Development
    • eCommerce
    • SEO
    • Staff Augmentation
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    2 Projects Listed
  • Professional Multilingual Communication And Support At Scale

    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
  • Powering Business Intelligence with AI-Driven Data Support

    Data-Entry-India.com is a global Data & AI operations partner. Serving 3,850+ clients across 50+ countries, we specialize in enterprise data operations, AI training data services, digital commerce data support, data research and intelligence services, and document and content-related support...

    Top Services:

    • Big Data Analytics
    • BPO
    • AI Development
    • Managed Services
    • Business Consulting
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
  • Bringing people and technology together.

    Cavinolr Recruiters specializes in connecting top-tier talent with organizations in CS, Retention , sales, life sciences, healthcare, and biotechnology sectors. The firm combines industry expertise with personalized strategies to deliver exceptional recruitment solutions tailored to clients' unique needs...

    Top Services:

    • BPO
    • Phone Answering Services
    • Translation Services
    • Customer Support
    • Show more
    Location
    Plantation, Florida
    Number of Employees
    250 - 499
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • Maximize Revenue. Minimize Hassle

    ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...

    Top Services:

    • Business Consulting
    • BPO
    Location
    Fort Worth, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Streamlined Accounting. Expert Financial Management

    Personiv offers flexible outsourced accounting solutions to optimize finance operations and reduce costs. With a dedicated team approach, the firm empowers businesses to refocus on strategic initiatives while handling their day-to-day financial tasks efficiently and professionally. Personiv specializes in...

    Top Services:

    • Accounting
    • BPO
    • HR Outsourcing
    Location
    Austin, Texas
    Number of Employees
    1000 & Up
  • Lead Generation At Startup Speed

    Startupr is an outbound lead generation agency built for B2B startups that need predictable pipeline without hiring an in-house SDR team...

    Top Services:

    • Digital Services
    • BPO
    • Call Centers
    Location
    Orange County, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Medical Billing & Revenue Cycle Solutions That Maximize Revenue

    GenMediTech partners with healthcare providers across the United States to simplify medical billing and strengthen revenue cycle performance. Our team delivers accurate coding, timely claims submission, denial management, credentialing, payment posting, and AR follow-up, helping practices reduce...

    Top Services:

    • Business Consulting
    • BPO
    • CRM Consulting
    • IT Services
    • IT Compliance Solution
    • Show more
    Location
    Westwood, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
  • 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

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
129,175+
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
15

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