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.
United States ×
Your Reliable Billing Help
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... View Liberty Liens profile
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Revolutionize Revenue Cycle Management For Healthcare
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... View all reviews
Top Services:
- BPO
- Location
- Edison, New Jersey
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Clearing Claims. Building Confidence
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... View UControl Billing profile
Top Services:
- BPO
- Location
- Hauppauge, New York
- Number of Employees
- 50 - 99
- Minimal Budget
- Under $1,000
Medical Billing Services By MedHuts
MedHuts provides professional medical billing, coding, and revenue management services to help healthcare providers improve efficiency and reimbursement... View all reviews
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
Healthcare Billing Services And Solution In USA
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... View MedsIT Nexus profile
Top Services:
- BPO
- Location
- Uniondale, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Medical Billing Services That Maximize Your Revenue
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... View Expeditious Medical Billing profile
Top Services:
- BPO
- Location
- Richmond, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
Putting Patients First, Every Claim, Every Time
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... View all reviews
Top Services:
- BPO
- Location
- New York City, New York
- Number of Employees
- 50 - 99
Your Billing Partner In Better Healthcare
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... View Healthcare Billing Services profile
Top Services:
- BPO
- Location
- Maryland Heights, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $500/hr
- Minimal Budget
- $50,000 & Up
Customized Medical Billing Solutions
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... View Medetec profile
Top Services:
- BPO
- Location
- Schenectady, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Retail CX Company
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... View ServeRetail profile
Top Services:
- BPO
- Location
- Norcross, Georgia
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $10/hr
Trusted Expertise Proven Results
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... View Medical Lien Management, Inc profile
Top Services:
- BPO
- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
Medical Billing & Revenue Cycle Management Company
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... View Connexus Cure profile
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... View MedMaxRCM profile
Top Services:
- BPO
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Get Back to What Matters Weve Got the Solution
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... View Pro MBS LLC profile
Top Services:
- BPO
- Location
- Webster, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
A Partner That Values Your Financial Health
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... View Quantum Health Services profile
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
RCM Solutions That Prevent Revenue Leakage
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... View all reviews
Top Services:
- BPO
- Location
- Brentwood, Tennessee
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
Take Care Of Your Patients, We Will Take Care Of Your Revenue.
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... View CareRevenue profile
Top Services:
- BPO
- Location
- Kissimmee, Florida
- Number of Employees
- 500 - 999
Expert Infusion Billing That Helps Your Practice Get Paid Faster
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... View Infusion Billing Services profile
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $50,000 & Up
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 all reviews
Top Services:
- BPO
- Location
- Franklin Square, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Hire A Remote AI Specialist, Not Another VA Stuck In 2015.
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... View WiseVAs profile
Top Services:
- BPO
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Healthcare IT Development Center
Empeek helps Healthcare and Life Science companies break down the growth barriers and become freer, more successful, and competitive... View Empeek's portfolio
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Business Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
Support You Can Trust. Results You Can Measure.
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... View Optimized EA profile
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
Solve today, thrive tomorrow.
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... View all reviews
Top Services:
- BPO
- HR Outsourcing
- Business Consulting
- Accounting
- Mobile App Development
- Show more
- Location
- Billings, Montana
- Number of Employees
- 1000 & Up
The #1 Customer Service Outsourcing & BPO Company
With a legacy dating back to 2016, HiredSupport stands as a true trailblazer in the outsourced customer support realm... View HiredSupport's portfolio
Top Services:
- Customer Support
- BPO
- Call Centers
- Phone Answering Services
- Show more
- Location
- Rancho Cucamonga, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Tailored bookkeeping and financial solutions to support your companys goals
Our mission? To ensure that every client has clear and legible books and records, financial foresight, and the ability to make sound business decisions based on our work product and guidance... View The Finance Squad's portfolio
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Prosper, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $60/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
We serve Success
We offer 24-7 Inbound Contact Center Services that include Phone, Email, Live Chat, Text and Social Media Support Services. We also help with back-office support work including order processing, data entry and related VA tasks... View Digitech Outsourcing Solution's portfolio | View all reviews
Top Services:
- Customer Support
- Call Centers
- Phone Answering Services
- BPO
- Show more
- Location
- Rehoboth Beach, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Trusted Data Partner across the Globe
BizInfor is a notable B2B data-driven marketing solution provider. Our state-of-the-art technology helps businesses of all sizes identify the right prospects... View all reviews
Top Services:
- BPO
- Email Marketing
- Location
- Edison, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Empowering healthcare providers with financial success through efficient revenue cycle management.
Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services include insurance verification, medical coding, claims processing, denial management, and A/R follow-up... View all reviews
Top Services:
- BPO
- Digital Marketing
- Location
- Casper, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Diving Into Technology
Riseup Labs is a global AI-first technology company delivering software, BPO, and CX solutions that help enterprises innovate faster, scale smarter, and grow sustainably. From Bangladesh to the world, we design and build reliable solutions and agentic workflows that drive real outcomes... View Riseup Labs's portfolio | View all reviews
Top Services:
- Mobile App Development
- Web Development
- eCommerce Development
- Software Development
- Product Design
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 6 Projects Listed
Growth Through Servant Leadership
Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences... View all reviews
Top Services:
- BPO
- Call Centers
- Customer Support
- Business Consulting
- Show more
- Location
- Nacogdoches, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
Total CX and BPO Services.
ROI CX Solutions offers Total Contact Management and Business Support Services. We leverage our expertise to deliver a total package of customer care solutions and contact center services! We provide dedicated 24X7-365 outsourcing solutions. ROI CX Solutions is driven by results, whether it is maximizing your... View ROI CX Solutions's portfolio | View all reviews
Top Services:
- Call Centers
- BPO
- Customer Support
- Phone Answering Services
- Show more
- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
Build a Team. Build a Future.
ALLSTARSIT is an international outstaffing service provider that helps businesses recruit, pay, insure, and support top global talent with payroll, benefits, and more... View all reviews
Top Services:
- Staff Augmentation
- Managed Services
- BPO
- HR Outsourcing
- Customer Support
- Show more
- Location
- San Francisco, California
- Number of Employees
- 1000 & Up
Partners You Can Count On.
CSV Now, a premier consulting firm, excels in talent acquisition, content marketing, and Business Process Outsourcing (BPO). We elevate leading tech brands with holistic business solutions, combining expert talent sourcing and impactful brand communication. With a proven history of success, CSV Now is your... View CSV Now profile
Top Services:
- BPO
- Call Centers
- Customer Support
- Content Marketing
- Accounting
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
Influx.com are the experts in on-brand 24/7 customer support, since 2013..
Influx.com is the #1 on-demand service partner for growing brands. Since 2013, Influx has been trusted by 750+ brands & delivered fully managed, on-brand support, 24/7, on month-to-month plans. Our human + AI teams deliver better customer experience for e-commerce, SaaS, Tech brands worldwide... View Influx's portfolio
Top Services:
- Customer Support
- Call Centers
- BPO
- HR Outsourcing
- AI Development
- Show more
- Location
- West Hollywood, California
- Number of Employees
- 1000 & Up
- Portfolios Count
- 2 Projects Listed
Delivering Dependable Customer Support
We help businesses deliver fast, reliable, and professional customer support across all channels. Whether you need inbound support, outbound follow-ups, or a dedicated remote team, we tailor our services to fit your operations and scale with your growth... View The Acme Solutions's portfolio
Top Services:
- BPO
- Customer Support
- Phone Answering Services
- Call Centers
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Portfolios Count
- 2 Projects Listed
AI-Powered Medical Billing Company
Dastify Solutions is an AI-powered medical billing/RCM company (Austin, TX). 500+ certified experts cut errors by 99%. Full RCM, AR, & credentialing for 75+ specialties on a pay-for-paid model. Integrates with 600+ EHRs... View Dastify Solutions's portfolio | View all reviews
Top Services:
- BPO
- Email Marketing
- SEO
- Digital Marketing
- Social Media Marketing
- Show more
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Boost your revenue immediately with remote employees & IT professionals
We are US-based and woman-owned company. Since 2015 we serve companies in the USA and Canada, providing IT outsourcing, call center, virtual assistance and any remote employee services 24/7. Our multilingual specialist are excellent in English, Spanish, Russian, Chinese, and other popular languages... View Front Desk Helpers's portfolio | View all reviews
Top Services:
- Software Development
- IT Services
- BPO
- Staff Augmentation
- Show more
- Location
- Old Bridge, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 4 Projects Listed
Outsource Bookkeeping With Expert Back-Office Support
Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave... View Rapid Back Office LLC's portfolio
Top Services:
- Accounting
- BPO
- Location
- Alexandria, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Customized RCM Strategies For US Healthcare Providers
At 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗖𝗮𝗿𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀, we are more than just a medical billing company, we are your trusted partner in maximizing revenue, minimizing claim denials, and streamlining your entire Revenue Cycle Management (RCM) process. With deep expertise in the... View all reviews
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Complete Enterprise Data Support - Data Entry, eCommerce Product Listing, Web Research, Data Mining,
DataEntryIndia.in is a leading data management and BPO service provider with over 25 years of experience and 850+ full-time data experts... View DataEntryIndia.in's portfolio
Top Services:
- Market Research
- BPO
- Big Data Analytics
- AI Development
- Show more
- Location
- Laguna Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Portiva: Leading The Way In Medical Excellence
Portiva's Virtual Medical Assistant is the No. 1 Provider in the World Today... View Portiva's portfolio | View all reviews
Top Services:
- Phone Answering Services
- BPO
- Call Centers
- HR Outsourcing
- Show more
- Location
- Trappe, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Focus On Your Company Leave The Tech To Us.
We are a tech production company that specializes in virtual events. Our team will work with you to plan and coordinate every aspect of your event, ensuring that it runs smoothly and seamlessly... View Isde Digital profile
Top Services:
- Video Production
- Branding
- Audio Production
- Translation Services
- Digital Marketing
- Show more
- Location
- Middletown, Delaware
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Empowering Digital Transformations
CodeFulcrum is an agile and progressive software company. Specializing in web, mobile and enterprise software development. Delivering products that are both visually stunning and technically ambitious with an unparalleled level of expertise... View CodeFulcrum's portfolio
Top Services:
- AI Development
- BPO
- Branding
- Software Development
- Show more
- Location
- South San Francisco, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 2 Projects Listed
Showing the World a Better Way to Outsource
Customer service and back-office support services are offered across all available channels by SupportNinja. Our main clients are Silicon Valley-based and international technology startups that receive VC funding. Apps, software, and platform-based technology enterprises that focus on serving consumers depend... View SupportNInja profile
Top Services:
- BPO
- Customer Support
- Location
- Dallas, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Hire a team in the Philippines at a fraction of the coast
Digital Minds BPO services are among the top BPO company in the Philippines offering front office and back office services. They offer various services like customer support, back office support, creative services and technical support. Their global presence and expertise in BPO solutions have earned them a... View all reviews
Top Services:
- BPO
- Accounting
- Location
- Wilmington, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
Efficient. Trusted. Global BPO Solutions.
Allianze BPO Services- Matchless Support for Your Back-Office Needs... View Allianze BPO Services profile
Top Services:
- BPO
- Software Development
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $3/hr
- Minimal Budget
- $1,000 - $10,000
Go further
Transdata offers best in class digital marketing services and complete branding solutions from strategy consultation, media marketing to optimization. Creative marketing strategies and products optimization enable businesses to generate maximum revenue and sales... View TransData profile
Top Services:
- BPO
- IT Services
- Location
- Woodbridge Township, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $29/hr
- Minimal Budget
- $1,000 - $10,000
Run Your Entire Practice With One EHR+ Platform
A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity... View all reviews
Top Services:
- BPO
- Software Development
- Location
- Newport Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Driving B2B Leads, Fueling Sales Growth.
Strategic Sales and Marketing (SSM) is a lead generation company specializing in B2B lead generation, appointment setting and managing sales leads for major accounts in multiple industry sectors. Founded in 1989 by Al Davidson, Strategic Sales and Marketing is widely recognized as one of the “leading... View all reviews
Top Services:
- BPO
- Digital Marketing
- Location
- Avon, Connecticut
- Number of Employees
- Under 49
Exceptional Outsourcing Solutions
Everise offers enterprises the solutions and technology they need to rapidly scale their brands across markets, and to evolve their offering through the product or service lifecycle. Some of the world’s most loved brands have products and services that are tested, protected, supported and sold by Everise... View all reviews
Top Services:
- BPO
- HR Outsourcing
- Location
- Austin, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $100/hr
BPO Companies by State
BPO Specializations in the US
Popular Services
Why People Trust DesignRush
Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding BPO companies in the USA. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.
Learn more about DesignRush Agency Ranking Methodology.
Sources
DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:
- Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
- The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.
Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.
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.
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