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 ×
Forrest Solutions is the nation’s first and leading onsite outsourcing and staffing company. For 45 years we’ve provided companies of all sizes with people solutions on an onsite outsourced, direct hire, temporary, temp-to-hire and consulting basis...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- Under 49
For over 30 years MDC has helped innovators and entrepreneurs bring In Vitro Diagnostics (IVD) and Medical Devices to market that impact the lives of millions of patients around the world, every year. Our mission is to continue to support these innovators by applying our expertise in Regulatory Affairs...
Top Services:
- BPO
- Location
- Beverly, Massachusetts
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- 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...
Top Services:
- BPO
- Location
- Boston, Massachusetts
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- East Haven, Connecticut
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- Sacramento, California
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- Perth Amboy, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Phoenix Virtual Solutions places dedicated virtual medical assistants with US home health agencies, hospice organizations, and medical practices. Built by healthcare operators with 75+ years of experience. HIPAA-trained, performance-managed, zero-risk replacement. Clients save up to 60% on labor...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
Zventus is a global services provider of management consulting, staffing solutions, and outsourcing services that empower organizations to innovate, improve and grow their business...
Top Services:
- BPO
- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Get Virtual Assistance Services for Back office data entry, data cleaning, data conversion, pdf conversion services. Contact us to Outsource your project...
Top Services:
- BPO
- Location
- Atlanta, Georgia
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- Palm Harbor, Florida
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $25,000 - $50,000
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...
Top Services:
- BPO
- Location
- Lansdale, Pennsylvania
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
CPA-led accounting and fractional CFO team of 75. Books, CFO, payroll and AP/AR under one roof for healthcare, real estate and MCA, nationwide...
Top Services:
- BPO
- Location
- Cedarhurst, New York
- Number of Employees
- 50 - 99
Physicians Revenue Group, Inc. is the best medical billing company in the USA, that helps physicians to focus on patient care and boost their practice revenue...
Top Services:
- BPO
- Location
- Downers Grove, Illinois
- Number of Employees
- 1000 & Up
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%...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Williamsport, Pennsylvania
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Lewes, Delaware
- Number of Employees
- 100 - 249
Blumot provides solutions to private and public organizations to multiple countries and industries...
Top Services:
- BPO
- Location
- Wilmington, Delaware
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- Lewes, Delaware
- Number of Employees
- Under 49
We're committed to providing multiemployer clients and their members with tailored solutions, superior customer experiences, and local personalized services...
Top Services:
- BPO
- Location
- Tampa, Florida
- Number of Employees
- 1000 & Up
We launched Performance Dynamics in 2001, with the goal of becoming an insourcing company for tasks that are repetitive within organizations...
Top Services:
- BPO
- Location
- Chicago, Illinois
- Number of Employees
- 1000 & Up
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...
Top Services:
- BPO
- Location
- San Clemente, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $199/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Murrysville, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
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...
Top Services:
- BPO
- Location
- Seattle, Washington
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Gallatin, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 500 - 999
The Medical Billing Solution for Fluid, Maximized & Profitable Practices...
Top Services:
- BPO
- Location
- Wheeling, West Virginia
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- Columbia Heights, Minnesota
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $1/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Santa Fe, New Mexico
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Frisco, Texas
- Number of Employees
- Under 49
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
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...
Top Services:
- BPO
- Location
- Los Angeles, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Dallas, Texas
- Number of Employees
- 100 - 249
Reps Direct, a business process outsourcing (BPO) agency, specializes in providing highly skilled remote staff to support the growth and efficiency of businesses. By offering dedicated representatives fluent in multiple languages and equipped to handle diverse roles from customer service to tech support, Reps...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
GlowTouch specializes in customer service outsourcing, helping clients improve retention and enhance brand loyalty through first-contact issue resolution. Its agents become experts on the client's business, turning customer care into a revenue center while its technical talent supports in-house information...
Top Services:
- BPO
- Location
- Louisville, Kentucky
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $49/hr
- Minimal Budget
- $50,000 & Up
IBN Technologies provides tailored business process outsourcing (BPO) services to drive financial efficiency and growth. With expertise in finance and accounting, information technology (IT) services, and automation, IBN Technologies helps businesses streamline operations, reduce costs, and gain real-time...
Top Services:
- BPO
- Location
- Miami, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
PRWTech delivers comprehensive business process outsourcing (BPO) services, including document processing, facilities management, and clerical support for government and private companies. With over three decades of experience, PRWTech provides cost-effective solutions that promote customer loyalty and...
Top Services:
- BPO
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Pacific Global, a business process outsourcing (BPO) firm, specializes in transforming revenue cycle management for healthcare providers. With technology-enabled services and analytics-driven solutions, Pacific Global enhances operational efficiency, maximizes revenue, and improves patient and physician...
Top Services:
- BPO
- Location
- Hackensack, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Global Hola is a virtual talent outsourcing agency dedicated to helping small businesses find exceptional professionals from around the globe. With one of our virtual assistants or talents on your team, you can focus more on big-picture projects while we handle remote tasks...
Top Services:
- BPO
- Location
- Gallatin, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
Ascend BPO is a comprehensive solutions provider, offering a diverse range of services from healthcare BPO to cutting-edge IT solutions. Our portfolio includes database management, business intelligence, and robust application development for desktop, web, and mobile platforms...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
PrognoCIS, a division of Harris Computer has been in the electronic medical record market for over 22 years...
Top Services:
- BPO
- Location
- Niagara Falls, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $280/hr
PrimeSync Solutions is a business process outsourcing (BPO) firm that helps businesses reduce costs, scale efficiently, and deliver exceptional customer experiences. Providing top-tier talent and cutting-edge technology, the firm empowers companies to overcome operational challenges while maintaining quality...
Top Services:
- BPO
- Location
- Columbus, Ohio
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
247 Secretary offers comprehensive offshore workforce solutions tailored to diverse business needs. Offering customer care, tech support, and back office outsourcing solutions, 247 Secretary ensures seamless service delivery with its highly skilled teams in the Philippines. With 24/7 availability and a...
Top Services:
- BPO
- Location
- Ocala, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
We are a professional medical billing company in Connecticut revolutionizing the revenue cycle of providers through cutting-edge billing and coding services...
Top Services:
- BPO
- Location
- Glastonbury, Connecticut
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Downers Grove, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/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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