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 ×
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...
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
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...
Top Services:
- BPO
- Location
- Boca Raton, Florida
- Number of Employees
- 100 - 249
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- South Bend, Indiana
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- 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. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Newark, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Claymont, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Cranston, Rhode Island
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
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...
Top Services:
- BPO
- Location
- Wilmington, Delaware
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $10,000 - $25,000
Swagpro Medical Billing Services is recognized as the best medical billing company in Nebraska, offering top-quality, end-to-end medical billing services in Nebraska...
Top Services:
- BPO
- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $1000/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Dublin, Ohio
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
AIM RCM Solutions is a trusted partner for healthcare practices looking to improve billing and revenue cycle management...
Top Services:
- BPO
- Location
- Albany, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Boost revenue cycle management with Medmax Technologies LLC, a trusted us-based medical billing company. Get faster claims and higher reimbursements...
Top Services:
- BPO
- Location
- Flower Mound, Texas
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Lexington, Massachusetts
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Hillside, New Jersey
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Liberty Liens is a reliable partner for doctors across the United States. We handle billing, lien filing, claim tracking, and day-to-day support to make the complex side of practice management easier, faster, and more dependable...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
iSolve RCM is the best medical billing company that offers comprehensive healthcare revenue management services, with a fee as low as 2.99% of monthly collections. We serve 50+ specialties in all 50+ states. Reach out to us for expert medical billing services in USA...
Top Services:
- BPO
- Location
- Edison, New Jersey
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
U Control Billing offers professional medical coding services that ensure accurate CPT, ICD-10, and HCPCS coding for healthcare providers. Our certified coders help reduce claim denials, maintain compliance, and improve reimbursement by translating clinical documentation into precise, billable codes that...
Top Services:
- BPO
- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
MedHuts provides professional medical billing, coding, and revenue management services to help healthcare providers improve efficiency and reimbursement...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
MedsIT Nexus is a results-driven healthcare billing services and solutions partner specializing in accurate medical billing, coding, credentialing, and data-powered RCM solutions. We help healthcare providers improve collections, reduce denials, streamline operations, and achieve consistent financial growth...
Top Services:
- BPO
- Location
- Uniondale, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
At Expeditious Medical Billing, we provide complete medical billing and revenue cycle management solutions for healthcare providers of all sizes. Whether you're a solo practitioner managing patient care or a growing healthcare group handling high patient volumes, our team ensures your billing process runs...
Top Services:
- BPO
- Location
- Richmond, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
Prime Doc Billing LLC is a trusted medical billing company in Brooklyn, New York, specializing in revenue cycle management and healthcare administrative solutions. We help healthcare providers maximize reimbursements, reduce claim denials, and streamline operations, allowing them to focus on patient care...
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
Healthcare Billing Services provides reliable medical billing and revenue cycle management solutions designed to help healthcare providers get paid accurately and on time. We reduce administrative workload, improve reimbursement rates, and ensure compliant billing so providers can focus on patient care...
Top Services:
- BPO
- Location
- Maryland Heights, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $50,000 & Up
Medetec is a medical billing services company based in the USA that specializes in revenue cycle management for healthcare practices. They offer comprehensive medical coding and billing services, practice management consulting, provider enrollment and credentialing, and staff training...
Top Services:
- BPO
- Location
- Schenectady, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
ServeRetail is a USA-based retail and ecommerce customer support provider helping global brands deliver exceptional customer experiences. We partner with ecommerce, DTC, and omnichannel retailers to manage post-purchase operations including order management, WISMO resolution, returns and refunds, and...
Top Services:
- BPO
- Location
- Norcross, Georgia
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
Express Virtual Assistant (EVA) is a globally managed virtual workforce solutions provider that helps businesses streamline operations through structured, performance-driven support systems. Founded in 2004 as a subsidiary of Flatworld Solutions, EVA goes beyond traditional outsourcing by offering a...
Top Services:
- BPO
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary...
Top Services:
- BPO
- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
Connexus Cure is the medical billing company in United States helps healthcare practices get paid faster, reduce denials, and maximise revenue through expert medical billing & rcm services...
Top Services:
- BPO
- Location
- Branchburg, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements...
Top Services:
- BPO
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Get Professional Medical Billing and Coding Services that eliminate headaches and maximize your Revenue. Let us handle the complexity while you concentrate on delivering exceptional care...
Top Services:
- BPO
- Location
- Webster, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
At Quantum Health Services, we simplify the process of finding the best medical billing services tailored to your practice. Our platform connects healthcare providers with top-rated billing specialists to ensure efficient revenue cycle management. With seamless inquiry forms and expert support, we help you...
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
Elite MedBilling Solutions & Revenue Cycle Management provides end-to-end medical billing services that cover the complete revenue cycle, from charge entry and coding to claims submission and payment posting. Our integrated approach helps reduce denials, improve collections, and keep your reimbursements...
Top Services:
- BPO
- Location
- Brentwood, Tennessee
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
CareRevenue helps dental practices optimize revenue through intelligent billing, insurance verification, and denial management. Combining automation with expert support, CareRevenue streamlines the entire revenue cycle to deliver faster payments and stronger financial outcomes...
Top Services:
- BPO
- Location
- Kissimmee, Florida
- Number of Employees
- 500 - 999
Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $50,000 & Up
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Top Services:
- BPO
- Location
- Franklin Square, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Behavioral Health RCM Services provide high-quality behavioral health billing services in California. At Behavioral Health RCM Services, we dont just manage billing we become a trusted extension of your team, committed to your financial success and operational efficiency...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Claim n Billing specializes in medical billing services that optimize revenue cycles and reduce administrative burdens. Our expert team ensures accurate, timely billing, allowing healthcare providers to focus more on patient care. Trust us for efficient, supportive financial management...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
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
WeCare Billing LLC is a trusted medical billing and revenue cycle management company that helps healthcare providers maximize revenue through accurate billing, faster claim processing, proactive denial management, and compliance-focused solutions tailored to practices of all sizes...
Top Services:
- BPO
- Location
- Boynton Beach, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
1Degree Surveillance is a nationwide commercial remote video monitoring and CCTV monitoring provider that helps businesses detect, verify, and respond to security threats in real time.The service combines AI-powered threat detection with trained, U.S.-based security operators who monitor connected camera...
Top Services:
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- 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
VOSKPO LLC is a US-based revenue-cycle and knowledge-process company founded in 2015 and headquartered in Albuquerque, New Mexico...
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
US-based outsourced dental billing for practices and DSOs — insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Works inside the practice’s existing PMS. Published pricing, month-to-month, no onboarding fee...
Top Services:
- BPO
- Location
- Nashville, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Web Design
- Show more
- Location
- Austin, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
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
- Show more
- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
Wipfli is a leading accounting and business consulting firm, ranking among the top 20 in the nation. With a century of experience and a forward-thinking approach, we help clients achieve lasting results. Our team of eternal students brings cross-industry expertise and creativity to solve complex challenges...
Top Services:
- BPO
- HR Outsourcing
- Business Consulting
- Accounting
- Mobile App Development
- Show more
- Location
- Billings, Montana
- Number of Employees
- 1000 & Up
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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