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

9 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 ×
  • 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

    Top Customer Service Services

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts

    Clients and Projects

    View Full Portfolio
    • Elevating Guest Experience Through Smart Automation in Travel & Hospitality
      Virtual Receptionist Project for Hospitality Company Elevating Guest Experience Through Smart Automation in Travel & Hospitality
    • Redefining Online Shopping Experience Through Smart CX Automation in Retail & E-Commerce
      Outsourced Customer Support Project for Retail Company Redefining Online Shopping Experience Through Smart CX Automation in Retail & E-Commerce
    • Powering Customer Trust Through Digital Experience Transformation in Energy & Utilities
      Outsourced Customer Support Project for Energy & Mining Company Powering Customer Trust Through Digital Experience Transformation in Energy & Utilities
    • Revolutionizing Policyholder Support in the Insurance Sector
      Outsourced Customer Support Project for Supplements Company Revolutionizing Policyholder Support in the Insurance Sector
    • Enhancing Customer Experience for a Manufacturing Enterprise
      Outsourced Customer Support Project for Manufacturing Company Enhancing Customer Experience for a Manufacturing Enterprise
    • Transforming Viewer Engagement with AI-Driven Customer Experience in Media & Entertainment
      Outsourced Customer Support Project for Media & Communications Company Transforming Viewer Engagement with AI-Driven Customer Experience in Media & Entertainment
    Comprehensive analysis done by DesignRush Agency Experts.
    • Trainual Inc
    • 15Five
    • ElectrIQ Marketing
    • YCharts
    • PERQ
    • GMass
    • Heinz Marketing Inc
    • Arch-Con Corporation
    Data sourced from the agency's DesignRush profile

    Top Customer Service Reviews & Testimonials

    • Manoj Thenua
      Manoj Thenua Chief Executive Officer at Medico Hub
      5.0

      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.

      Show more
    Reviews verified by DesignRush and sourced from the agency's profile
  • 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

    SwiftCare Billing LLC Services

    • BPO
    • HR Outsourcing
    • Customer Support
    • Phone Answering Services
    • Call Centers
    • Accounting
    • Web Design
    • Web Development
    • WordPress Website Design
    • Transcription Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts

    Clients and Projects

    View Full Portfolio
    • Follow-Up, Indexing and AR
      BPO Project for Health Care Company Follow-Up, Indexing and AR
    • Revenue Cycle Managment
      Medical Billing Project for Health Care Company Revenue Cycle Managment
    • Revenue Cycle Managment
      Back Office Outsourcing Project for Health Care Company Revenue Cycle Managment
    Comprehensive analysis done by DesignRush Agency Experts.
    • Health Care Industry
    • Dental Industry
    • Insurance Industry
    • HR Industry
    • BPO
    • Outsourcing
    • Medical Billing
    Data sourced from the agency's DesignRush profile

    SwiftCare Billing LLC Reviews & Testimonials

    • Julie Formica
      Julie Formica Office Administrator at Redefine Healthcare
      5.0

      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.

      Show more
    Reviews verified by DesignRush and sourced from the agency's profile
  • 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.  [... view EBQ profile ]
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    5 Projects Listed

    EBQ Services

    • BPO
    • Call Centers
    • CRM Consulting
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts

    Clients and Projects

    View Full Portfolio
    • LYRASIS
      Appointment Setting Project LYRASIS
    • Seal Software
      Appointment Setting Project Seal Software
    • Cal-Bay Systems
      Appointment Setting Project Cal-Bay Systems
    • Image Skincare
      Appointment Setting Project Image Skincare
    • Enflux
      Appointment Setting Project Enflux
    Comprehensive analysis done by DesignRush Agency Experts.
    • LYRASIS
    • Seal Software
    • Cal-Bay Systems
    • Image Skincare
    Data sourced from the agency's DesignRush profile

    EBQ Reviews & Testimonials

    • Applied Tech
      Applied Tech Review from Google
      5.0

      Applied Tech's Review Sourced from Google

      We have been working with EBQ since July of 2024. It has been a seamless and rewarding experience, thanks to their exceptional project management and commitment to timely delivery on multi-project fronts.From the outset, their team demonstrated a clear understanding of our objectives, has maintained open communication, and has provided regular updates on progress.Milestones have been met with precision, and any challenges have been addressed proactively, ensuring the projects stay on track. Deliverables have not only been completed ahead of schedule but also have often times exceeded our expectations in quality and attention to detail.Their professionalism and dedication has instilled confidence throughout the process, making them a trusted partner for ongoing and future collaborations.

      Show more
    • Sarah Becherer
      Sarah Becherer Review from Google
      5.0

      Sarah Becherer's Review Sourced from Google

      Worked with EBQ on a sales outsourcing project for 6 months in 2024. Can't say enough positive things about how attentive, friendly, and responsive the team is. They're organized and excellent problem-solvers. Due to the nuances of our business and sales process, it ultimately wasn't a long-term fit, but I would highly recommend EBQ for cold-calling and appointment-setting for B2B software or managed services. Shout out to Dante who was with us since the beginning – you rock!

      Show more
    • Rodane Williams
      Rodane Williams Review from Google
      1.0

      Rodane Williams's Review Sourced from Google

      I contracted EBQ for BDR augmentation services for a period of three months, and the results were extremely disappointing. Despite their promises, they failed to schedule even one initial meeting with potential clients. It was clear from the start that they didn’t fully understand my organization, our business needs, or how to properly present us to potential leads.Instead of delivering on their commitment, they merely provided a list of cold calls that didn’t meet our business requirements at all. The leads were irrelevant, poorly targeted, and demonstrated a lack of research or effort. Despite their failure to achieve any tangible results, they had the audacity to demand thousands of dollars in funding for what was essentially a useless service.Overall, I found their approach disorganized and out of touch with our goals, making this engagement a waste of time and money. I would not recommend their services to anyone looking for real results.

      Show more
    Reviews verified by DesignRush and sourced from the agency's profile
  • 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.  [... view Nagog Innovation Technology Inc profile ]
    Location
    Lexington, Massachusetts
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000

    Nagog Innovation Technology Inc Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Insta360
    • Holystone
    • Arrow
    Data sourced from the agency's DesignRush profile
  • 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.  [... view Cavinol Panama profile ]
    Location
    Plantation, Florida
    Number of Employees
    250 - 499
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000

    Cavinol Panama Services

    • BPO
    • Phone Answering Services
    • Translation Services
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Global Labs
    • Sunshine Global Health
    • Great VirtualWorks
    • Great HealthWorks
    • Virtual Connect Maketing
    • Wright Marketing Consulting
    • DreamReach Virtuals
    Data sourced from the agency's DesignRush profile
  • International Business Support Solutions for SME's and Large Enterprises

    BusinAssist is a trusted global partner for entrepreneurs, startups and established businesses seeking seamless company incorporation, professional virtual offices and a wide range of business support services.  [... view BusinAssist profile ]
    Location
    Newark, Delaware
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000

    BusinAssist Services

    • Business Consulting
    • Phone Answering Services
    • Accounting
    • BPO
    • Translation Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Finance Industry
    • Legal Industry
    • Corporate Services Industry
    • Joseph K
    Data sourced from the agency's DesignRush profile
  • 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  [... view Scionis RCM profile ]
    Location
    Fort Worth, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000

    Scionis RCM Services

    • Business Consulting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Dental Industry
    • Other Industry
    Data sourced from the agency's DesignRush profile
  • 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  [... view Personiv profile ]
    Location
    Austin, Texas
    Number of Employees
    1000 & Up

    Personiv Services

    • Accounting
    • BPO
    • HR Outsourcing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Non-Profit Industry
    • Manufacturing Industry
    • Energy & Mining Industry
    Data sourced from the agency's DesignRush profile
  • 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

    Hexaware Technologies Services

    • IT Services
    • Managed Services
    • AI Development
    • Software Development
    • Cloud Consulting
    • ERP Consulting
    • Big Data Analytics
    • BPO
    • CRM Consulting
    • Cybersecurity
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Mobility and alternative energy company
    • Corporate legal services company
    • Renowned hotel and hospitality chain
    • Leading US based global airline
    Data sourced from the agency's DesignRush profile

    Hexaware Technologies Reviews & Testimonials

    • Saad Shaikh
      Saad Shaikh Review from Google
      1.0

      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 more
    • Harsh
      Harsh Review from Google
      1.0

      Harsh'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
    Reviews verified by DesignRush and sourced from the agency's profile

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.