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

471 Companies - Rankings updated: June 10, 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 ×
  • A Trusted Medical Billing Partner

    A Trusted Medical Billing Partner

    Pyramids Global provides comprehensive medical billing solutions designed to optimize revenue and reduce errors in healthcare practices. By outsourcing medical billing to the firm, clients benefit from cost-effective operations, enhanced revenue cycle management, and adherence to industry regulations. The  [... view Pyramids Global profile ]

    Top Services:

    • BPO
    • Medical Billing
    Location
    Austin, Texas
    Number of Employees
    100 - 249
  • Efficient Outsourcing for Global Success

    Efficient Outsourcing for Global Success

    Redial BPO delivers top-tier business process outsourcing (BPO) solutions focused on cost reduction and cultural alignment. Established in 2017, the firm operates across four locations in Mexico and South Africa, offering significant savings and advanced technology. Its nearshore and offshore services provide  [... view Redial BPO profile ]

    Top Services:

    • BPO
    • Call Centers
    Location
    San Diego, California
    Number of Employees
    500 - 999
    Minimal Budget
    $50,000 & Up
  • Empowering Real Estate Efficiency

    Empowering Real Estate Efficiency

    Real Assistance provides specialized business consulting and outsourcing services exclusively for real estate professionals. Its experienced consultants, analysts, paralegals, and managers offer affordable support for routine administrative tasks, allowing clients to focus on core business activities. By  [... view Real Assistance profile ]

    Top Services:

    • BPO
    • Business Consulting
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Empowering Connections, Transforming Experiences.

    Empowering Connections, Transforming Experiences.

    Five9 delivers comprehensive CCaaS solutions, empowering businesses to create exceptional customer experiences through expert support, advanced technology, and customer-focused strategies.  [... view Five9, Inc profile ]

    Top Services:

    • BPO
    • Call Centers
    Location
    San Ramon, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $149/hr
  • Your Partner in Cost-Effective, High-Quality BPO Solutions.

    Your Partner in Cost-Effective, High-Quality BPO Solutions.

    Global Services BPO provides tailored inbound and outbound call center services, live chat, email, lead generation, and back-office solutions, enabling businesses to reduce costs while maintaining high-quality customer experiences.  [... view Global Services BPO profile ]

    Top Services:

    • BPO
    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Enterprise Data Entry & AI Training Data Services for Modern Businesses

    Enterprise Data Entry & AI Training Data Services for Modern Businesses

    A trusted provider of data entry outsourcing services with over 20 years of experience, offering cost-effective solutions to businesses worldwide. Known for precision, transparency, and efficiency, the agency ensures operational excellence and data accuracy for its clients.  [... view Data Entry Outsourced profile ]

    Top Services:

    • BPO
    • Data Entry
    Location
    Princeton, New Jersey
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Passion for People, Excellence in Service

    Passion for People, Excellence in Service

    A minority-owned BPO company specializing in customer service, sales, and recruitment process outsourcing. Leveraging award-winning innovations in training and coaching, the agency delivers exceptional customer experiences while boosting satisfaction, loyalty, and operational efficiency.  [... view One Contact Center profile ]

    Top Services:

    • BPO
    • Call Centers
    Location
    Thousand Oaks, California
    Number of Employees
    500 - 999
    Minimal Budget
    $1,000 - $10,000
  • Streamlining Processes, Maximizing Potential

    Streamlining Processes, Maximizing Potential

    A global provider of innovative contact center and BPO solutions specializing in inbound and outbound services for B2B and B2C clients. The agency enables businesses to focus on their core competencies while delivering seamless operational support to drive growth and efficiency.  [... view Omelink profile ]

    Top Services:

    • BPO
    Location
    New York City, New York
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $25,000 - $50,000
  • Excellence Delivered, Growth Empowered

    Excellence Delivered, Growth Empowered

    A dynamic BPO provider offering customized solutions to enhance operational efficiency and customer satisfaction. With a global presence spanning the U.S., Jamaica, and India, the agency specializes in delivering exceptional customer service and tailored business solutions.  [... view Boulou Bpo profile ]

    Top Services:

    • BPO
    • Medical Billing
    Location
    Boca Raton, Florida
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000
  • Streamlined Billing, Maximized Profitability

    Streamlined Billing, Maximized Profitability

    A premier provider of Revenue Cycle Management (RCM) services specializing in medical and dental billing. With a focus on accuracy and efficiency, the agency helps healthcare providers optimize cash flow, enhance revenue integrity, and prioritize patient care.  [... view Astron EHS profile ]

    Top Services:

    • BPO
    • Medical Billing
    Location
    South Bend, Indiana
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Trusted By Leading Healthcare Providers

    Trusted By Leading Healthcare Providers

    Right on Time Billing Services is a Houston-based medical billing company offering coding, claims submission, and full revenue cycle management. We help Home Health, Hospice, and Behavioral Health practices reduce denials and increase revenue.  [... view Right On Time Billing profile ]

    Top Services:

    • BPO
    • Medical Billing
    • Customer Support
    Location
    Houston, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $9/hr
    Minimal Budget
    $1,000 - $10,000
  • Accounting>>Taxation>>Consulting

    Accounting>>Taxation>>Consulting

    Global FPO is one of the leading Bookkeeping Accounting Outsourcing firms in USA, UK, Canada & Australia. Our firm has provided services in this industry for 7+years with 500+ Happy clients  [... view Global FPO profile ]

    Top Services:

    • BPO
    • Business Consulting
    • Accounting
    Location
    Scottsdale, Arizona
    Number of Employees
    500 - 999
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • MindSpace was founded in 2007 and offers bookkeeping outsourcing and accounting outsourcing services to individuals and SME’s who are based in the US, UK, Canada, Ireland, and Australia.  [... view MindSpace profile ]

    Top Services:

    • BPO
    • Accounting
    • HR Outsourcing
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • One Stop Virtual Shop

    One Stop Virtual Shop

    VA Talks is the best virtual assistant company in the USA, offering expert online personal assistant services to manage tasks, scheduling, admin support and more.  [... view VA Talks profile ]

    Top Services:

    • BPO
    • Legal
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Realise your potential

    Realise your potential

    We are one of India's leading contact centre company catering to US, UK, Australia, India, Middle East & South East Asia markets. Our core domains are Fintech, Healthtech, Edtech, Wellness, Healthcare, Ecommerce, FMCG, BFSI, Education among other domains.  [... view Altius profile ]

    Top Services:

    • BPO
    • Business Consulting
    • Call Centers
    Location
    Lewisville, Texas
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • IT Outsourcing Services Company with Dedicated IT Professionals

    IT Outsourcing Services Company with Dedicated IT Professionals

    Our IT Outsourcing Services Company provides reliable offshore staffing services. For your customized business needs, our offshore profesionals helps you generate higher ROI.  [... view Abacus Data Systems profile ]

    Top Services:

    • BPO
    • Data Entry
    Location
    Dallas, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
  • Driven by Excellence

    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 ]

    Top Services:

    • BPO
    • Market Research
    • Accounting
    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

    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 ]

    Top Services:

    • BPO
    Location
    Cedar Park, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Digital Transformation, Delivered On Time

    Digital Transformation, Delivered On Time

    Nimap Infotech: Leading IT solutions provider specializing in web development, mobile app development, and software services. With a focus on innovation and client satisfaction, Nimap offers scalable and customized solutions to meet diverse business needs.  [... view Nimap Infotech Pvt. Ltd. profile ]

    Top Services:

    • BPO
    Location
    Jersey City, New Jersey
    Number of Employees
    500 - 999
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Patients. Our Billing Expertise

    Your Patients. Our Billing Expertise

    Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth  [... view Mediknocx profile ]

    Top Services:

    • BPO
    Location
    Franklin Square, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Trusted Partner For All Your Business Needs

    Your Trusted Partner For All Your Business Needs

    Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions.  [... view Allianze Infosolution profile ]
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000

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.