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

448 Companies - Rankings updated: April 02, 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 ×
  • Welcome to Boston Direct Inc, a leader in outsourced marketing and sales. We are dedicated to helping our billion dollar clients in their pursuit to acquire new residential consumers in the Boston area. We have proven that a firm handshake, a great smile, and clear communication are the most effective tools  [... view Boston Direct profile ]
    Location
    Framingham, Massachusetts
    Number of Employees
    Under 49
  • Founded as Boston Search Group in 1997 and rebranded in 2008, BSG Team Ventures is a retained executive search firm focused on recruiting leaders for rapidly changing environments. While we serve a wide range of clients including public corporations and not-for-profit organizations, the greatest  [... view BSG Team Ventures profile ]
    Location
    Boston, Massachusetts
    Number of Employees
    Under 49
  • Impact That Drives Performance

    Impact That Drives Performance

    GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 9,500-strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient  [... view GeBBS Healthcare Solutions profile ]
    Location
    East Haven, Connecticut
    Number of Employees
    Under 49
  • BPO Excellence

    BPO Excellence

    Business process outsourcing (BPO) is a valuable strategy for companies seeking new ways to achieve high performance by controlling costs, reducing risk, and focusing on core compentencies. SoftFile offers our clients a unique blend of technology and highly trained labor to assist you with your day-to-day  [... view SoftFile profile ]
    Location
    Sacramento, California
    Number of Employees
    Under 49
  • Live Easy, Live Free With Ossisto

    Live Easy, Live Free With Ossisto

    Our services provide you with a well-structured analysis that will help you make an informed choice. Virtual Assistant services from the United States fully comprehend, support, and operate in accordance with your needs.  [... view Ossisto profile ]
    Location
    Perth Amboy, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Medical Virtual Assistants

    Medical Virtual Assistants

    Phoenix Virtual Solutions is a leading offshore staffing company for healthcare providers, medical facilities, and management companies. We specialize in providing professional virtual staffing and solutions to US, UK and Australian healthcare industries. Phoenix was founded by former US Healthcare executives  [... view Phoenix Virtual Solutions profile ]
    Location
    Orange County, California
    Number of Employees
    100 - 249
  • Innovative Solutions That Power Your Business

    Innovative Solutions That Power Your Business

    Zventus is a global services provider of management consulting, staffing solutions, and outsourcing services that empower organizations to innovate, improve and grow their business.  [... view Zventus profile ]
    Location
    Los Angeles, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Empathy Meets Efficiency in Healthcare Revenue Cycle.

    Empathy Meets Efficiency in Healthcare Revenue Cycle.

    Valerion Health is a U.S.-based healthcare outsourcing agency that partners with hospitals, physician groups and clinics to optimize revenue cycle management through medical coding, billing, auditing and telemedicine support. Blending innovative solutions with deep industry experience, Valerion empowers  [... view Valerion Health profile ]
    Location
    Palm Harbor, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $25,000 - $50,000
  • Your Perfect Partner For Improved Revenue Cycle Management Services

    Your Perfect Partner For Improved Revenue Cycle Management Services

    We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States.  [... view Purview Healthcare profile ]
    Location
    Lansdale, Pennsylvania
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Minimal Budget
    Under $1,000
  • Simplify Your Medical Billing

    Simplify Your Medical Billing

    Physician Billing Company ensures 99.5% collection of your billed revenue. Serving in 48 states, we are helping independent physicians & practices increase their practice revenue by up to 30%.  [... view Physician Billing Company profile ]
    Location
    Irvine, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • We Specialize in Providing a Full Suite Of RCM & Laboratory Billing Services

    We Specialize in Providing a Full Suite Of RCM & Laboratory Billing Services

    We are one of the leading laboratory billing service and AR recovery services providers in the United States. We offer a comprehensive suite of profitable lab revenue cycle management.  [... view Laboratorybillings profile ]
    Location
    Williamsport, Pennsylvania
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Customized processing solutions for your business's needs

    Customized processing solutions for your business's needs

    TurnKey Resources has professional staff to help with general administrative task or a specific skill set for niche and specialty programs, we have you covered.  [... view TurnKey Resources profile ]
    Location
    Lewes, Delaware
    Number of Employees
    100 - 249
  • Our BPO services provide a wide range of flexible solutions

    Our BPO services provide a wide range of flexible solutions

    Blumot provides solutions to private and public organizations to multiple countries and industries.  [... view Blumot profile ]
    Location
    Wilmington, Delaware
    Number of Employees
    Under 49
  • AS BPO Solutions is a fast growing supplier of high performance services

    AS BPO Solutions is a fast growing supplier of high performance services

    AS BPO Solutions Provides all range of telesales, customer care, research and development, and software development services to corporations including banking, telecommunications, transportation, energy, and retail.  [... view AS BPO Solutions profile ]
    Location
    Lewes, Delaware
    Number of Employees
    Under 49
  • The Power of Good Advice.

    The Power of Good Advice.

    We launched Performance Dynamics in 2001, with the goal of becoming an insourcing company for tasks that are repetitive within organizations.  [... view Performance Dynamics profile ]
    Location
    Chicago, Illinois
    Number of Employees
    1000 & Up
  • Boost Your Customer Reviews Today

    Boost Your Customer Reviews Today

    At Convuent, we understand that reviews and mentions can make or break a business. That's why we offer a suite of tools designed to help you get more customer reviews, showcase your best ones, and mitigate any negative ones already out there.  [... view Convuent profile ]
    Location
    San Clemente, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • ADVANCE WITH ALL STAR BPO COMPANY

    ADVANCE WITH ALL STAR BPO COMPANY

    ALL STAR BPO LLC is a call center situated in Palatine, IL that provides call center services such as inbound and outbound sales, as well as DIGITAL MARKETING SERVICES such as tech support, admin assistance, web development, SEO, PPC, Android apps, web applications, and much more.  [... view All Star BPO profile ]
    Location
    Murrysville, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
  • Complete revenue cycle management services from the highest reviewed RCM partner working with you.

    Complete revenue cycle management services from the highest reviewed RCM partner working with you.

    BellMedex is the nation's most highly rated revenue cycle management company. Our customers enjoy superior communication, rapid response times, best-in-class claims management, and exceptional claim follow-up and denial management.  [... view Bellmedex profile ]
    Location
    Seattle, Washington
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Contact Centers Reimagined.

    Contact Centers Reimagined.

    Our "SECRET SAUCE" is the combination of effective and qualified labor with the best telecom solution, flexible dialing platform and data reporting that fits your specific needs.  [... view Tyme Global Direct profile ]
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Experts in Medical Billing, RCM and Healthcare Outsourcing Services

    Experts in Medical Billing, RCM and Healthcare Outsourcing Services

    NewTech RCM Solutions is a leading healthcare outsourcing service provider offering comprehensive revenue cycle management solutions and other customized services to healthcare providers throughout Nashville, TN and beyond. Our team of experts has years of experience in Durable Medical Equipment DME billing  [... view NewTech IT & RCM Solutions profile ]
    Location
    Gallatin, Tennessee
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Comprehensive On and Offshore Business Process Outsourcing

    Comprehensive On and Offshore Business Process Outsourcing

    Global Agility Solutions offers comprehensive onshore, offshore and hybrid Business Process Outsourcing (BPO) services and solutions focused on automating and advancing repeatable business operations that impact bottom line revenue. Committed to continuous process improvement, industry-leading technology and  [... view Global Agility Solutions profile ]
    Location
    Austin, Texas
    Number of Employees
    500 - 999
  • Fast and Reliable

    Fast and Reliable

    We are a dedicated team committed to providing our clients with a fully transparent end-to-end solution. Elevate your revenue cycle with our efficient services, available at rates as competitive as 3.99% of the collection. Our dedicated team is driven by the objective of delivering a comprehensive end-to-end  [... view Zmed Solutions profile ]
    Location
    Minneapolis, Minnesota
    Number of Employees
    250 - 499
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000
  • We Listen. We Help. We Care.

    We Listen. We Help. We Care.

    Medcare MSO is a healthcare revenue cycle management (RCM) company dedicated to enhancing the financial performance of healthcare organizations. Through the implementation of best practices and cutting-edge technology tools, we streamline processes, boost revenue, and expedite reimbursement cycles, ultimately  [... view Medcare profile ]
    Location
    Santa Fe, New Mexico
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Efficient Medical Billing Solutions

    Efficient Medical Billing Solutions

    Blitz Medical Billing (BMB) is a locally-owned and operated medical billing company based in Frisco, Texas, offering personalized billing services to emergency medicine practices across the United States. Specializing in emergency medicine billing, it has grown from its roots as the specialty biller for a  [... view Blitz Medical Billing, LLC profile ]
    Location
    Frisco, Texas
    Number of Employees
    Under 49
  • We make data work for you.

    We make data work for you.

    Mobius is revolutionizing the data journey to address real-time business challenges and drive excellence, leveraging the capabilities of artificial intelligence, machine learning, and intelligent automation.  [... view Mobius profile ]
    Location
    New York City, New York
    Number of Employees
    1000 & Up
  • We Provide Medical Billing Services in California.

    We Provide Medical Billing Services in California.

    Certified Healthcare Billing is a premier medical billing company based in California. We specialize in providing comprehensive billing services tailored to the healthcare industry. Our expertise ensures efficient, accurate, and compliant billing solutions for healthcare providers.  [... view Certified Healthcare Billing profile ]
    Location
    Los Angeles, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • We are Here For Your Care

    We are Here For Your Care

    MediBillMD provides medical billing, coding, and revenue cycle management services to healthcare providers. MediBillMD values are reflected in our dedication to delivering the most efficient solutions for medical billing and revenue cycle management.  [... view MediBill MD profile ]
    Location
    Dallas, Texas
    Number of Employees
    100 - 249
  • Backoffice Outsourcing Excellence

    Backoffice Outsourcing Excellence

    BackOffice Pro, a leader in backoffice outsourcing, enables businesses to escalate their growth. We handle non-essential parts of your operation, allowing you to focus on your core competencies.  [... view Back Office Pro profile ]
    Location
    Princeton, New Jersey
    Number of Employees
    100 - 249
  • Empower Your Practice with Modern Healthcare Solutions.

    Empower Your Practice with Modern Healthcare Solutions.

    PrognoCIS, a division of Harris Computer has been in the electronic medical record market for over 22 years.  [... view Bizmatics, Inc profile ]
    Location
    Niagara Falls, New York
    Number of Employees
    250 - 499
    Average Hourly Rate
    $280/hr
  • We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.

    We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.

    We are a professional medical billing company in Connecticut revolutionizing the revenue cycle of providers through cutting-edge billing and coding services  [... view Connecticut Medical Billing profile ]
    Location
    Glastonbury, Connecticut
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Powering Dental Practices with Smarter Billing.

    Powering Dental Practices with Smarter Billing.

    We are a full-service dental billing organization with 1,000+ professional billers and coders across the U.S., helping dental practices boost revenue, cut costs, and focus on patient care.  [... view Dental Revenue Group profile ]
    Location
    Downers Grove, Illinois
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • At RGT, we are a healthcare-focused outsourcing company.

    At RGT, we are a healthcare-focused outsourcing company.

    Our mission is to empower healthcare providers with reliable, transparent, and cost-effective outsourcing solutions that enhance financial performance and operational efficiency. By focusing solely on RCM and medical billing, we aim to simplify the financial side of healthcare, allowing providers to maximize  [... view RG TREND profile ]
    Location
    Fresno, California
    Number of Employees
    Under 49
  • The NYC medical billing company is based in New York City, the city of lights and elites.

    The NYC medical billing company is based in New York City, the city of lights and elites.

    The NYC medical billing company is based in New York City, the city of lights and elites. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA.  [... view NYC Medical Billing Services profile ]
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Streamline Your Revenue With Expert Medical Billing Services.

    Streamline Your Revenue With Expert Medical Billing Services.

    Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing, accurate coding, efficient submissions, denial management, centralized billing, in-depth analytics, and secure  [... view Medix Revenue Group profile ]
    Location
    Sheridan, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Our Medical Billing Company is committed to Providing

    Our Medical Billing Company is committed to Providing

    Wise Medical Billing is a U.S.-based revenue cycle management (RCM) firm that provides end-to-end billing, coding, AR recovery, credentialing and denial management services. Their certified coders and IT-driven team help healthcare practices maximize reimbursement, reduce administrative burden, and streamline  [... view Wise Medical Billing Company profile ]
    Location
    Newark, Delaware
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Grow Your Healthcare Business With Us

    Grow Your Healthcare Business With Us

    At Humalife Healthcare, we go beyond expectations by delivering high-quality digital tools and services that help healthcare providers work smarter, serve better, and grow sustainably.  [... view Humalife Healthcare profile ]
    Location
    Claymont, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Precision Billing for Better Practice Health

    Precision Billing for Better Practice Health

    Rhode Island Medical Billing is a trusted medical billing agency that partners with healthcare providers to streamline claims processing, manage accounts receivable and maximize reimbursements. The agency focuses on accuracy, compliance and efficiency to help practices improve revenue cycle management.  [... view Rhode Island Medical Billing Services profile ]
    Location
    Cranston, Rhode Island
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
  • The Medical Billing Partner You Can Trust

    The Medical Billing Partner You Can Trust

    OneMed Billing helps healthcare providers handle their billing smoothly and correctly. We take care of everything from medical coding and sending claims to following up on denials and collecting payments from patients. Our main focus is to help you avoid delays, keep your cash flow steady, and reduce mistakes  [... view OneMed Billing profile ]
    Location
    Wilmington, Delaware
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
  • AI-Driven Revenue Cycle Management Services

    AI-Driven Revenue Cycle Management Services

    IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management.  [... view IDS Healthcare profile ]
    Location
    New York City, New York
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $10,000 - $25,000
  • BPO Outsourcing Services For Business Growth

    BPO Outsourcing Services For Business Growth

    Contasks is a trusted virtual assistant and back-office outsourcing provider. Originally serving transportation companies, we now support a wide range of industries from eCommerce to healthcare. Our mission is simple: cut costs, streamline operations, and help your business grow with confidence.  [... view Contasks profile ]
    Location
    Dublin, Ohio
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Trusted Medical Billing Company Across United States

    Trusted Medical Billing Company Across United States

    AIM RCM Solutions is a trusted partner for healthcare practices looking to improve billing and revenue cycle management.  [... view Aim Rcm Solutions profile ]
    Location
    Albany, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Leading Healthcare RCM Company in New York

    Leading Healthcare RCM Company in New York

    Routine audits are key to ensuring accurate billing and regulatory compliance. At eBridge RCM LLC, we conduct comprehensive monthly billing audits designed to uncover errors, monitor performance trends, and reveal areas for operational enhancement. Our timely evaluations and easy-to-understand reports empower  [... view EBridgeRCM profile ]
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management

    MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management

    MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials  [... view MedBrilliance profile ]
    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Flexible Outsourcing for Modern Enterprises

    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
  • Focus On Patients, Well Handle The Billing

    Focus On Patients, Well Handle The Billing

    We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims.  [... view Mastermind Healthcare RCM Tactics profile ]
    Location
    Hillside, New Jersey
    Number of Employees
    50 - 99
    Minimal Budget
    Under $1,000

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.