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.
Incoho Lead Generation is designed to help companies accomplish this goal without draining internal resources that are better deployed selling. This service maintains a two-step process – the first is researching leads and developing the initial list. The second is to call into the target companies in order...
Top Services:
- BPO
- Big Data Analytics
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Pasquesi Partners provide full-service accounting and tax solutions to tech and agency businesses. Our mission is to help growth-stage businesses manage the comprehensive financials required to turn visions into reality. Like traditional accounting firms, we handle the basics: bookkeeping, payroll, tax...
Top Services:
- BPO
- Accounting
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
A global customer experience (CX) management solutions provider, Startek delivers best-in-class omnichannel CX, digital transformation, virtual receptionist, call and contact center, and enterprise tech services for leading brands, from Fortune 500s to fast-growing startups...
Top Services:
- BPO
- Call Centers
- Location
- Greenwood Village, Colorado
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Medical billing services provided with no contract. We work with all specialties and handle the billing process from beginning to end. Contact us today and maximize revenue...
Top Services:
- BPO
- Software Development
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Outstanding legal service to clients and the community, professional excellence, and uncompromising integrity have defined HunterMaclean’s mission for more than a century...
Top Services:
- BPO
- Accounting
- Location
- Savannah, Georgia
- Number of Employees
- 100 - 249
Build Your Team, Your WayEMAPTA is a premium staffing company with talent that aligns with your brand, values, and identity...
Top Services:
- BPO
- HR Outsourcing
- Location
- Wilmington, Delaware
- Number of Employees
- 1000 & Up
Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...
Top Services:
- BPO
- Accounting
- Location
- Twentynine Palms, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations...
Top Services:
- BPO
- Business Consulting
- Location
- Princeton, New Jersey
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
Merito Group offers data-driven talent acquisition solutions, including retained executive search, contingency search, temporary placements, recruitment process outsourcing, career coaching, leadership development, and executive coaching. The firm caters to various sectors, including energy, entertainment...
Top Services:
- BPO
- Business Consulting
- Location
- Loch Lynn Heights, Maryland
- Number of Employees
- Under 49
MOUTS is a renowned worldwide professional services company that excels in IT. Our service portfolio includes strategy and consulting, technology and operations services. We strive to provide our customers with agility and sustainability in a constantly changing market...
Top Services:
- BPO
- IT Services
- Location
- Wilmington, Delaware
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $49/hr
- Minimal Budget
- $10,000 - $25,000
Pest SOS provides comprehensive back-office outsourcing solutions tailored for pest control companies, streamlining operations and enhancing efficiency. With years of experience and a focus on customer service excellence, Pest SOS enables businesses to scale while relieving the burden of hiring and managing...
Top Services:
- BPO
- Call Centers
- Location
- Oklahoma City, Oklahoma
- Number of Employees
- Under 49
We redefine the standards of Medical Billing Services In California (RCM), standing as a beacon of excellence in the industry...
Top Services:
- BPO
- Business Consulting
- Location
- San Bernardino, California
- Number of Employees
- Under 49
EZ Settle Solutions is a global innovator in the fields of medical billing & coding services in USA.Get control over coding challenges, billing complexities and optimize Revenue Cycles Reduce claim denials, recover missed revenue and increase cash flow...
Top Services:
- BPO
- Business Consulting
- Location
- Houston, Texas
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $1,000 - $10,000
Real Assistance provides specialized business consulting and outsourcing services exclusively for real estate professionals. Its experienced consultants, analysts, paralegals, and managers offer affordable support for routine administrative tasks, allowing clients to focus on core business activities. By...
Top Services:
- BPO
- Business Consulting
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Five9 delivers comprehensive CCaaS solutions, empowering businesses to create exceptional customer experiences through expert support, advanced technology, and customer-focused strategies...
Top Services:
- BPO
- Call Centers
- Location
- San Ramon, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $149/hr
Technodream provides high-quality, affordable web development, web design, online marketing, and call center services for businesses in the US, UK, and Australia...
Top Services:
- BPO
- Call Centers
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
Quicklyster provides fully managed 24/7 customer support and Tier 1 tech support for SaaS, eCommerce, and digital-first brands. We offer free backup agents, fast deployment, native English agents, and flexible pricing all without contracts or setup fees. Whether you need live chat, phone, email, or helpdesk...
Top Services:
- BPO
- Social Media Marketing
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $9/hr
- Minimal Budget
- $1,000 - $10,000
DoctorPapers offers medical virtual assistants and revenue cycle management services for 50 medical specialties across the USA. Our solutions are fully HIPAA compliant and secure...
Top Services:
- BPO
- Transcription Services
- Location
- Glendale, California
- Number of Employees
- 50 - 99
Hypeify helps startups and high-growth companies scale marketing teams affordably by sourcing top-tier marketing talent from Latin America. We connect you with vetted marketing specialists in social media, paid ads, email, content, design, video, web, and analytics. With flexible plans, full onboarding...
Top Services:
- BPO
- HR Outsourcing
- Location
- Palm Springs, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
At Go Hire Virtual, we help busy entrepreneurs and businesses scale without burnout. Our team of highly skilled virtual assistants handle the day-to-day, so you can focus on growth...
Top Services:
- BPO
- Phone Answering Services
- Location
- South Salt Lake, Utah
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Ebillient MedRevenue provides expert medical billing and coding services in the USA, helping healthcare providers and clinics optimize revenue cycle management. We reduce claim denials, accelerate reimbursements, and ensure compliance with industry standards. Our reliable solutions improve cash flow...
Top Services:
- BPO
- Reputation Management
- Location
- Wilmington, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...
Top Services:
- BPO
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
.Thrive RCM is a medical billing and revenue cycle management provider specializing in services for mental health professionals, psychiatric practices, and hospitals. The company supports healthcare providers through medical billing, coding, credentialing, claims processing, denial management, payment...
Top Services:
- BPO
- IT Services
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...
Top Services:
- BPO
- Digital Marketing
- Location
- Brea, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
Our relationship with our staff, customers, and other business partners is focused on honesty, perseverance, mutual confidence, and integrity. We help our clients to come up with the right strategy for their business, ensuring that their sales plans are realistic and are able to fulfill their business goals...
Top Services:
- BPO
- Call Centers
- SEO
- Email Marketing
- Digital Marketing
- Show more
- Location
- New York City, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $1,000 - $10,000
Virtual Staffer PH is a Philippines-based recruitment and staffing agency connecting U.S. businesses with skilled Filipino professionals. We specialize in recruiting virtual assistants, bookkeepers, accountants, administrative staff, customer support representatives, and remote professionals. Our services...
Top Services:
- BPO
- HR Outsourcing
- Accounting
- Customer Support
- Digital Services
- Show more
- Location
- St. Louis, Missouri
- Number of Employees
- Under 49
- Average Hourly Rate
- $40/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Trupp Global: Your Trusted Partner for Back-Office Support and Customer Experience Services...
Top Services:
- BPO
- Customer Support
- Call Centers
- IT Services
- Show more
- Location
- Orlando, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software...
Top Services:
- BPO
- Web Design
- WordPress Website Design
- Managed Services
- IT Services
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
We match the best global remote professionals specializing in sales, customer service, bookkeeping, and tech services for US-based brands...
Top Services:
- Customer Support
- BPO
- Location
- Encinitas, California
- Number of Employees
- 1000 & Up
- Minimal Budget
- $10,000 - $25,000
Our legal nearshore service is committed to providing our clients with high-quality legal solutions in a wide field of specialities, all performed with a high value of professional ethics and good practice...
Top Services:
- Business Consulting
- BPO
- Location
- Doral, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
Level10 CFO is a new spin on outsourced CFO advisory and accounting services. With an advisory-led, tech-forward approach that always puts your interests first, we brave the crucial conversations to help your business evolve and grow...
Top Services:
- Accounting
- BPO
- Location
- Lakewood, Colorado
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
We provide guidance and support that acts as a seamless extension of your business. Our trained agents treat your clients with the warmth and respect they deserve, utilizing AI guidance to ensure fast, first-call resolutions without unnecessary escalations...
Top Services:
- BPO
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Palos Heights, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $14/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...
Top Services:
- Customer Support
- BPO
- Business Consulting
- Accounting
- Show more
- Location
- Cranberry, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
We are a team of experienced professionals with an outstanding expertise in various fields...
Top Services:
- Software Development
- Web Design
- eCommerce Development
- Web Development
- IoT
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 6 Projects Listed
iQuasar, a Northern Virginia tech leader with 20+ years of experience, specializes in Software Development, AI Integration, Web & App Development, Software Team Augmentation & More. We hold an A+ BBB rating, are verified on Clutch, and have a 97% Customer Satisfaction Rating by Dun & Bradstreet...
Top Services:
- Software Development
- Software Testing
- AI Development
- Mobile App Development
- Web Development
- Show more
- Location
- Sterling, Virginia
- Number of Employees
- 100 - 249
- Portfolios Count
- 5 Projects Listed
SunTec Data is a global leader in AI-enabled data, BPO, and KPO solutions, backed by over 25 years of experience and 1,500+ data professionals across 50+ countries. Combining advanced AI tools with human-in-the-loop oversight, we deliver ISO-certified, HIPAA-compliant data management...
Top Services:
- Market Research
- BPO
- Big Data Analytics
- eCommerce
- AI Development
- Show more
- Location
- Laguna Beach, California
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
At HomeX, we are a results-driven virtual assistant agency helping businesses across the U.S. and beyond scale faster and operate smarter. Based in Prishtina, Kosovo, we specialize in cold calling, lead generation, and customer support all delivered by trained, English-speaking virtual teams...
Top Services:
- Digital Marketing
- BPO
- SEO
- Social Media Marketing
- PPC
- Show more
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- AI Development
- Software Development
- BPO
- Branding
- 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
Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...
Top Services:
- Customer Support
- IT Services
- BPO
- Call Centers
- Business Consulting
- Show more
- Location
- Cheyenne, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $15/hr
- Portfolios Count
- 1 Project Listed
Unbench is a B2B hiring platform that helps companies find top tech talent quickly and cost-effectively. Instead of working with multiple recruiting agencies separately, businesses can post a single request and receive pre-screened candidates from a network of vetted recruiting partners...
Top Services:
- Staff Augmentation
- IT Services
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
ADP (Automatic Data Processing) is a global PEO, a leader in human capital management solutions, committed to transforming the way businesses navigate workforce challenges...
Top Services:
- BPO
- HR Outsourcing
- Business Consulting
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
Located in El Paso, Texas, DataXport (DX) is a Certified Texas State HUB and Small, Woman, & Minority Owned Enterprise specializing in Document Imaging, Electronic Document Management, Business Process Outsourcing, and IT Managed services...
Top Services:
- BPO
- IT Services
- Managed Services
- Location
- El Paso, Texas
- Number of Employees
- Under 49
We designed our advanced business and accounting services to better help your business establish a solid foundation for growth. You can customize your service package further by adding payroll, accounting, human resources, tax preparation or any of our other help you might require in addition to business...
Top Services:
- BPO
- Accounting
- HR Outsourcing
- Location
- San Diego, California
- Number of Employees
- Under 49
Global Help Desk Services, Inc. (GHDSi) provides you with enterprise quality help desk services. Many IT and business leaders want the opportunity to focus on core initiatives and just have the help desk "work"​. That's our specialty...
Top Services:
- BPO
- Phone Answering Services
- IT Services
- Location
- Hartford, Connecticut
- Number of Employees
- 100 - 249
We’re the Intelligent Information Management leader specializing in: Information Capture • Transformation • Access • Insight...
Top Services:
- BPO
- Big Data Analytics
- AI Development
- Location
- Hartford, Connecticut
- Number of Employees
- 100 - 249
Capita is a transformation and digital services business, delivering innovative solutions and simplifying the links between businesses and customers, governments and citizens. We partner with clients to transform their businesses and services, taking on the complex and difficult things – so they don’t...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- 1000 & Up
HelloSells is a 24/7 Lead qualification, capture and response service. We help small businesses boost their conversion rate and improve their ROI. We instantly respond to your leads, qualify them and schedule appointments for you. We also provide call center and 24/7 appointment scheduling services...
Top Services:
- BPO
- Phone Answering Services
- Call Centers
- Location
- Portland, Oregon
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Since mid-2014, DataWits has worked with clients from the United States, Canada, the United Kingdom, Australia, and the Middle East. The majority of our clients rely on us on an ongoing basis to meet their outsourcing and offshoring needs. We primarily serve the Data Entry, Data Processing, and Support...
Top Services:
- BPO
- HR Outsourcing
- IT Services
- Location
- Cheyenne, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $1,000 - $10,000
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BPO Specializations in the US
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Why companies trust DesignRush
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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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