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.
FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...
Top Services:
- BPO
- Transcription Services
- Business Consulting
- Accounting
- AI Development
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- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 12 Projects Listed
SunTec India is an AI-enabled IT and digital services company with 25+ years of experience, 1,500+ full-time employees, 8500+ clients worldwide, and a full spectrum of IT outsourcing, data solutions, digital engineering, eCommerce support, digital marketing and photo editing services...
Top Services:
- Web Development
- Mobile App Development
- eCommerce Development
- SEO
- Web Design
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- Location
- Laguna Beach, California
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Portfolios Count
- 6 Projects Listed
CPA-led accounting and fractional CFO team of 75+. Books, CFO, payroll and AP/AR under one roof for healthcare, real estate, MCA and tech, nationwide...
Top Services:
- BPO
- Location
- Cedarhurst, New York
- Number of Employees
- 50 - 99
We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...
Top Services:
- BPO
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Wing is a managed assistant service that places dedicated, AI-trained assistants inside growing companies and healthcare practices. Wing handles recruiting, training, and oversight, so clients get coverage they direct without managing performance, replacements, or continuity themselves. Assistants work inside...
Top Services:
- BPO
- Location
- Berkeley, California
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
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
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- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
Growth Cab helps B2B tech companies that sell $50K+ contracts build a predictable pipeline. We start from the accounts a client wants to win, sharpen the positioning, then put trained sales professionals in front of decision makers on LinkedIn and email. Since 2022 we have worked with 400+ B2B clients in the...
Top Services:
- Business Consulting
- BPO
- Digital Marketing
- Social Media Marketing
- Email Marketing
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- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
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
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
Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...
Top Services:
- BPO
- Digital Marketing
- Location
- Brea, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
SkyTech Global is a Bangladesh-based global delivery, business process, and technology company powering scalable operations worldwide.Formerly SkyTech Solutions...
Top Services:
- BPO
- Customer Support
- Call Centers
- Location
- Los Angeles, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...
Top Services:
- BPO
- Accounting
- Call Centers
- HR Outsourcing
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 500 - 999
WGS2D is a boutique business and technology consulting firm built by experienced leaders from top-tier firms. We're known for moving fast, delivering real outcomes, and putting the client first always. What sets us apart is how we execute. We don't just advise; we own results. Our Say/Do ratio is 100%. if we...
Top Services:
- Managed Services
- Cloud Consulting
- IT Services
- DevOps Consulting
- Cybersecurity
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- Location
- Oakland, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Intugo is an Employer of Record and Infrastructure provider that enables companies to establish an extension of their existing operations with dedicated talent from Mexico and recruited to their specific requirements...
Top Services:
- BPO
- Business Consulting
- Market Research
- Call Centers
- HR Outsourcing
- Show more
- Location
- Tucson, Arizona
- Number of Employees
- 1000 & Up
Outsourced B2B cold calling for US companies that need booked meetings, not another tool. We build the call list, write the script, run the dialer and put qualified meetings on your calendar. The 30 day pilot is $2,997 and guarantees 2,000 dials and 100 live connects, meaning a real person picked up. If we...
Top Services:
- Call Centers
- BPO
- Direct Marketing
- Market Research
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- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Online VA Team supports businesses with virtual assistant and customer service solutions. Our team helps organizations manage day-to-day administrative and client support needs with dependable, professional service...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- HR Outsourcing
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- Location
- Ann Arbor, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $7/hr
- Minimal Budget
- $1,000 - $10,000
Grow Local Flow helps Jacksonville and St. Augustine small businesses rank higher in Google Maps and the Local 3-Pack. We specialize in Local SEO, Google Business Profile optimization, custom website design, AI search optimization (GEO), and Google Ads.Services include on-page SEO, schema markup, citations...
Top Services:
- Digital Services
- Digital Strategy
- Web Design
- Web Development
- Digital Marketing
- Show more
- Location
- Saint Johns, Florida
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Customer Direct answers your calls and gives you answers about your business. What makes us unique: we analyze every single interaction, not just a small sample like most call centers...
Top Services:
- Call Centers
- BPO
- Phone Answering Services
- Customer Support
- AI Development
- Show more
- Location
- Maryland Heights, Missouri
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Amasu Consulting is an enterprise ecosystem architecture and business process re-engineering firm serving high-growth technology, CPG, manufacturing, and e-commerce sectors. We diagnose systemic friction points within 30 days to design aggressive scaling roadmaps. To execute plans flawlessly, we deploy a...
Top Services:
- Business Consulting
- CRM Consulting
- ERP Consulting
- ECM Consulting
- Cloud Consulting
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- Location
- Riverview, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $10,000 - $25,000
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
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- Location
- Kansas City, Missouri
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
HealthCare Call Center provides 24/7, HIPAA-compliant medical call answering and appointment support for healthcare practices across the U.S. Our U.S.-based team ensures every patient call is handled with care and confidentiality...
Top Services:
- Digital Services
- Advertising
- Staff Augmentation
- BPO
- Call Centers
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
In order to make a trucking business successful, effective dispatching, technology solutions, and customer service play a crucial role. Similarly, in scaling operations, efficient systems and clear communication are key to growth and long-term success...
Top Services:
- Digital Services
- Web Design
- Web Development
- WordPress Website Design
- Affiliate Marketing
- Show more
- Location
- Milwaukee, Wisconsin
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $200/hr
- Minimal Budget
- $1,000 - $10,000
BPO Companies by City
BPO Companies by State
BPO Specializations in the US
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BPO Services FAQs
What services do BPO companies in the USA typically provide?
US BPO providers support businesses across front-office, back-office, and operational functions, including:Â
- Customer support and call center services across phone, chat, and email.Â
- Back-office services such as data entry, billing, payroll, and document processing.Â
- Finance and accounting support, including bookkeeping, AP and AR, and reporting.Â
- Human resources outsourcing covering recruitment support, onboarding, and HR administration.Â
- IT and technical support, including help desk and application support.Â
- Sales and lead generation service,s such as appointment setting and CRM management.Â
- Marketing operations support, including campaign execution and analytics.Â
- Industry-specific services for healthcare, legal, and financial operations.Â
How much does it cost to hire a BPO company in the USA?
Based on DesignRush portfolio data, hiring a BPO company in the USA costs between $90 and $100 per hour, depending on service type, specialization, and delivery model.Â
Project-based pricing:Â
- Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.Â
- Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.Â
- Large-scale programs:Â $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.Â
- Enterprise-level BPO:Â $1 million+ annually for high-volume, regulated, or fully managed operations.Â
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.Â
Which industries most commonly use BPO services in the US?
BPO companies most commonly serve:Â
- Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development.Â
- Healthcare and medical billing, including claims processing, coding, and patient support.Â
- Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes.Â
- Legal services, with 68% of organizations are outsourcing legal and compliance tasks.Â
- Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing.Â
- Human resources, with 57% outsourcing HR functions such as payroll and benefits administration.Â
- Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making.Â
- Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%.Â
What outsourcing models do US-based companies typically offer?
They typically offer these outsourcing models:Â
- Onshore outsourcing with US-based teams.Â
- Nearshore outsourcing using teams in nearby regions.Â
- Offshore outsourcing for cost-sensitive, high-volume work.Â
- Dedicated team models for long-term operations.Â
- Project-based outsourcing for fixed scope work.Â
- Hybrid models combining multiple delivery locations and pricing structures.Â
How do businesses measure ROI when outsourcing to a BPO partner?
Businesses measure performance and ROI by tracking:Â
- Service level agreements such as response time, resolution time, and accuracy.Â
- Cost savings compared to in-house staffing and operations.Â
- Productivity metrics like volume handled per agent or per hour.Â
- Quality scores including error rates, compliance, and customer satisfaction.Â
- Revenue impact for sales, retention, or collections focused programs.Â
- Regular reporting, benchmarking, and quarterly performance reviews.Â
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