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 ×
  • Optimizing Your Revenue One Cycle At A Time

    Experts in full-cycle US medical claims management from charge capture, eligibility checks, and prior approvals to denial handling, payment posting, and AR recovery. Compliant with HIPAA, ICD-10, CPT, HCPCS. Support all payers: commercial, Medicare, Medicaid, TriCare, VA, Workers Comp...

    Top Services:

    • BPO
    • Business Consulting
    • CRO
    • ERP Consulting
    • ECM Consulting
    • Show more
    Location
    Albany, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
  • Outsource Your Headaches

    Newton Workforce is a multidisciplinary workforce and outsourcing company based in Lebanon, providing integrated business support solutions across Lebanon and the region. We assist startups, SMEs, multinational corporations, NGOs, and investors with Employer of Record (EOR), payroll management, HR...

    Top Services:

    • BPO
    • HR Outsourcing
    • Call Centers
    • Customer Support
    • Translation Services
    • Show more
    Location
    Lebanon, Oregon
    Number of Employees
    100 - 249
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Intugo is an Employer of Record and Infrastructure provider that enables companies to establish an extension of their existing operations with dedicated talent from Mexico and recruited to their specific requirements...

    Top Services:

    • BPO
    • Business Consulting
    • Market Research
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Tucson, Arizona
    Number of Employees
    1000 & Up
  • Experience You Can Trust

    Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...

    Top Services:

    • BPO
    • Customer Support
    • Transcription Services
    • Phone Answering Services
    • CRM Consulting
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Medical Billing Services Provider in USA

    Swift Billing Solutions helps healthcare providers streamline medical billing, reduce claim denials, accelerate reimbursements, improve practice efficiency, and maximize revenue for long-term financial growth...

    Top Services:

    • BPO
    • Customer Support
    • Accounting
    • Software Development
    • Mobile App Development
    • Show more
    Location
    Texas City, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
  • Redefining CX Excellence Through People, Technology and Expertise

    VSynergize is a Global Sales and Marketing services provider. The team is fully devoted to the success of its clients and partners, particularly when it comes to Customer Profiling, Content Creation & Syndication, Lead Generation & Nurturing, Demand Generation, Appointment Setting, BANT Leads, Delivering...

    Top Services:

    • Phone Answering Services
    • Call Centers
    • BPO
    • Digital Marketing
    • Show more
    Location
    San Francisco, California
    Number of Employees
    500 - 999
    Portfolios Count
    2 Projects Listed
  • Amplify Your Truth. Accelerate Your Growth.

    The Marketing Blender specializes in accelerating revenue growth for mid-size B2B companies through marketing & sales alignment and ROI-driven strategy. Results driven, we excel at transforming technical content into powerful differentiation strategies that get your prospects to act...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    Keller, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $10,000 - $25,000
  • Marketing Strategy & Outsourcing

    Our service plans provide top-quality digital marketing solutions that will strengthen your online presence and give your business an advantage over the competition...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
  • Call Center Excellence

    RemoteCoWorker.com is an experienced team of experts that have established roots while working with Filipino VA’s...

    Top Services:

    • Call Centers
    • BPO
    Location
    St. Petersburg, Florida
    Number of Employees
    1000 & Up
    Minimal Budget
    Under $1,000
  • We are a US Based and US Managed Recruitment Process Outsourcing & Acceleration (RPO or RPA) company with headquarters in Atlanta, GA. We exclusively utilize US Based Account Managers. Qualified Recruiter has developed an impressive depth and scale of essential recruiting knowledge and boasts a recruitment...

    Top Services:

    • HR Outsourcing
    • BPO
    Location
    Marietta, Georgia
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
  • Thrive in Times of Change With Solutions Built for You.

    We are purpose-built with former general counsels, law department operations directors, innovative leaders from LPO and eDiscovery firms, top law department management consultants, and senior strategy and technology experts who customize solutions to assist clients in transforming how legal work is done...

    Top Services:

    • Business Consulting
    • BPO
    Location
    Houston, Texas
    Number of Employees
    Under 49
  • Leading the Path to Financial Success

    Schulman Lobel is a full-service accounting, advising, and business management firm. We take a personal interest in your financial stability and success. Our solutions are cost-effective, resulting in savings that improve the bottom line. Our trusted professionals are ready to lead you on your path to...

    Top Services:

    • Accounting
    • BPO
    Location
    New York City, New York
    Number of Employees
    Under 49
  • Your Customized Call Center Solution.

    HIghPower call center is world renown near shore call center located in the heart of Tijuana minutes from the U.S border. Our team is bilingual, professional, and driven by performance goals. Our Call Center is second to none complete with a corporate structure and professional work environment...

    Top Services:

    • Call Centers
    • BPO
    Location
    Los Angeles, California
    Number of Employees
    Under 49
  • 24 Hour Answering Services Company

    In business since 1979, Tel-Us Call Center offers a variety of inbound call center services customized to suit the needs of its clients. Our well-trained staff of bilingual agents is available 24/7/365...

    Top Services:

    • Call Centers
    • BPO
    Location
    Los Angeles, California
    Number of Employees
    Under 49
  • Customer Care Excellence

    DASH BPO, LLC is a global leader in delivering best-in-class first party solutions for its strategic partners. With expertise in Customer Care, Sales, Collections, Quality Assurance, Verification, and Technical Support, DASH is an organization that understands the importance of a true partnership approach...

    Top Services:

    • Call Centers
    • BPO
    Location
    Orlando, Florida
    Number of Employees
    Under 49
  • Wondering How To Scale Your Business?

    FLINK Business Solutions is an outsourcing company specialized in back-office operations for insurance providers. We serve Insurance Carriers, MGAs, Brokers, & wholesale brokers. We’ve founded FLINK as an answer to the globally growing business demand for outsourcing and to provide business solutions to...

    Top Services:

    • Call Centers
    • BPO
    Location
    Santa Ana, California
    Number of Employees
    Under 49
  • Streamlining Your Operational Challenges

    GlobalityNet helps small and midsize companies reduce costs and thrive through supply chain and operations consultancy or through our outsourcing services. While based in Pasadena, CA, we have teams in the U.S. and globally to help you with your projects...

    Top Services:

    • Phone Answering Services
    • BPO
    Location
    Pasadena, California
    Number of Employees
    Under 49
  • Your Global Research Partner

    Market Probe International is a well-established research and insights company offering our clients data collection and analytics across a wide breadth of consumer and B2B categories. Our 50+ years of experience assure our clients of quality insights...

    Top Services:

    • Market Research
    • BPO
    Location
    New York City, New York
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Outsourcing Firm for an End To End Bookkeeping and Accounting Services

    Cube Accounting Solutions bookkeeping firm based in Newport Beach is one of the most preferred outsourced end-to-end bookkeeping service providers...

    Top Services:

    • Accounting
    • BPO
    Location
    Newport Beach, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
  • Focus on What Is Important.

    BBB Accredited Business with an A+ rating. Our Virtual Assistants are trained In-House Professionals who are dedicated to the success of our clients...

    Top Services:

    • Call Centers
    • BPO
    Location
    Atlanta, Georgia
    Number of Employees
    100 - 249
  • Premium Consulting & BPO Solutions

    TTEC combines BPO services design, strategic consulting, technology platforms, and operations excellence to deliver experiences that captivate customers and dramatically improve the bottom line. They help companies reduce customer effort, enable contact center employees, and continuously optimize business...

    Top Services:

    • Call Centers
    • BPO
    Location
    Austin, Texas
    Number of Employees
    1000 & Up
  • Management Excellence

    We partner with you to create a competitive advantage, turning information into knowledge...

    Top Services:

    • Managed Services
    • BPO
    Location
    Fairfield, New Jersey
    Number of Employees
    500 - 999
  • Warehouse Management Consulting

    The NorthStar WMS is a modular, configurable and flexible warehouse management system...

    Top Services:

    • Business Consulting
    • BPO
    Location
    St. Paul, Minnesota
    Number of Employees
    Under 49
  • We Are Your Outsourced Innovation Team

    Touch To is an Austin-based development and design consultancy, providing innovative solutions to technically challenging initiatives for enterprises, SMBs, startups, and nonprofits. With expertise in UX/UI design, full-stack web and mobile development, interactive installations, hardware/software...

    Top Services:

    • Software Development
    • BPO
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $10,000 - $25,000
  • Empowerment Through Global Connection

    iWorker is more than just a platform for finding virtual assistants; it's a social enterprise dedicated to transforming lives. By hiring through the agency, clients gain access to talented bilingual virtual assistants and contribute to supporting individuals from countries in crisis, such as Venezuela, where...

    Top Services:

    • Call Centers
    • BPO
    Location
    Dover, Delaware
    Number of Employees
    Under 49
  • Build.Engage.Grow.

    DAK IT HUB GROUP is a leading digital publisher that provides sales, lead generation & customer care services to our clients. We realize that single-channel cannot provide you with desired results. To ensure consistent quality and complete coverage, we utilize a multi-channel approach...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    Los Angeles, California
    Number of Employees
    Under 49
  • Global Call Center Solutions. Local Expertise.

    Grupo Noa International is a leading multilingual call center outsourcing agency enhancing business efficiency and global market expansion. With a focus on optimizing business operations and reducing costs, the agency offers tailored solutions that empower businesses to expand their reach and enhance customer...

    Top Services:

    • Call Centers
    • BPO
    Location
    Miami, Florida
    Number of Employees
    100 - 249
  • High Quality and Reliable Answering Services

    At Professional Communications Messaging Service, Inc. (PCMSI), we pride ourselves on being the knowledgeable, courteous voice that reliably answers your phone and so much more. With over 55 years of experience, we have established ourselves as a leading provider of high-quality, custom professional answering...

    Top Services:

    • Phone Answering Services
    • BPO
    Location
    Erie, Pennsylvania
    Number of Employees
    Under 49
  • Qualified Appointments for Sales Success

    WC Call Center excels in business-to-business (B2B) appointment setting and telemarketing, focusing on generating high-quality appointments with C-level executives. Its experienced professionals ensure each appointment meets rigorous qualification standards and drives new sales opportunities. The firm acts as...

    Top Services:

    • Call Centers
    • BPO
    Location
    Modesto, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Efficient Outsourcing for Global Success

    Redial BPO delivers top-tier business process outsourcing (BPO) solutions focused on cost reduction and cultural alignment. Established in 2017, the firm operates across four locations in Mexico and South Africa, offering significant savings and advanced technology. Its nearshore and offshore services provide...

    Top Services:

    • Call Centers
    • BPO
    Location
    San Diego, California
    Number of Employees
    500 - 999
    Minimal Budget
    $50,000 & Up
  • Trust your buddy to have your back!

    Hire globally, stress-free, with a reliable Virtual Assistant for just $10/hour no contracts, no setup fees, no hassle. Pixel Buddys dedicated Virtual Buddies take care of time-consuming tasks so you can focus on growing your business and enjoying life.Trust your buddy to have your back!...

    Top Services:

    • HR Outsourcing
    • BPO
    Location
    Pueblo, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $8/hr
    Minimal Budget
    $1,000 - $10,000
  • Passion for People, Excellence in Service

    A minority-owned BPO company specializing in customer service, sales, and recruitment process outsourcing. Leveraging award-winning innovations in training and coaching, the agency delivers exceptional customer experiences while boosting satisfaction, loyalty, and operational efficiency...

    Top Services:

    • Call Centers
    • BPO
    Location
    Thousand Oaks, California
    Number of Employees
    500 - 999
    Minimal Budget
    $1,000 - $10,000
  • Intelligent Automation, Maximum Productivity.

    Beam creates generative AI agents that automate repetitive tasks, boost productivity, and empower teams to focus on strategic work. Seamlessly integrating with business applications, our AI-driven solutions enhance efficiency across Product, Sales, Marketing, HR, and beyond...

    Top Services:

    • AI Development
    • BPO
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
  • SEO For Everyone

    We provides top-class offshore SEO virtual assistants. Hire individually or build your SEO team to be your industry's organic leader. When you need SEO support to assist with your businesss organic growth, our SEO VAs are available on an hourly, part-time, full-time, project-based, or monthly basis...

    Top Services:

    • SEO
    • BPO
    Location
    Santa Fe, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Transforming Your Ideas Into Reality

    Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...

    Top Services:

    • Customer Support
    • BPO
    Location
    Kansas City, Missouri
    Number of Employees
    50 - 99
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
  • Maximize Revenue. Minimize Hassle

    ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...

    Top Services:

    • Business Consulting
    • BPO
    Location
    Fort Worth, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Your Trusted Offshore Back-office & Technology Solutions Partner

    Technoheight is a fast-growing global BPM service provider that understands business operations has its challenges. With our solid team of talented professionals supported by the latest technologies, we provide end-to-end business process solutions that deliver results...

    Top Services:

    • AI Development
    • BPO
    Location
    Santa Clara, California
    Number of Employees
    100 - 249
  • Transforming Healthcare Practices

    At Integrate Point, we specialize in empowering medical professionals with custom solutions designed to simplify and optimize medical management by ensuring regulatory compliance. Our services include medical credentialing, revenue cycle management (rcm), prior auth, practice management, healthcare digital...

    Top Services:

    • Digital Marketing
    • BPO
    Location
    Wylie, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Reducing Physician Burnout Through Accurate, Real-Time Medical Documentation

    ScribeEMR provides AI-assisted and human medical scribing services that help healthcare providers reduce documentation burden and focus more on patient care. Our trained medical scribes work in real time to capture clinical encounters, maintain accurate electronic health records, and ensure HIPAA-compliant...

    Top Services:

    • Transcription Services
    • BPO
    Location
    Woburn, Massachusetts
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • LTCPro is a US-based healthcare outsourcing company providing revenue cycle management, medical billing, prior authorization, payroll, accounts payable, and bookkeeping exclusively for Skilled Nursing and Assisted Living facilities. Built for 25 to 50 bed operators who need specialist back-office support...

    Top Services:

    • Accounting
    • BPO
    Location
    Pocatello, Idaho
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Medical Billing Service

    MedPayersMD is an Austin, Texas medical billing and revenue cycle management company. We handle coding, claims, eligibility, denial management, AR recovery and credentialing so practices get paid right, faster. Serving physicians statewide in Texas and nationwide...

    Top Services:

    • Business Consulting
    • BPO
    Location
    Austin, Texas
    Number of Employees
    Under 49
  • Hit Rate Solutions: Affordable Call Center ForSMEs US Businesses

    Decreasing costs, saving money, increasing leads, and enhancing your business: make Hit Rate Solutions your first choice for an outsourced call center!...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • Customer Support
    Location
    Chicago, Illinois
    Number of Employees
    100 - 249
    Average Hourly Rate
    $7/hr
    Minimal Budget
    Under $1,000
  • Talent Acquisition | Employer Branding | Consulting

    We Are Talent Acquisition Experts.We are here to place candidates for your need, at your request, with precision accuracy to your requirements. Our staffing team will search far and wide to bring you an array of human resources that are prepared to interview with your team...

    Top Services:

    • Public Relations
    • Reputation Management
    • Staff Augmentation
    • Managed Services
    • Business Consulting
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • To Streamline & Grow Their Business With Us

    Xassure by eDesk is a trusted customer support and back-office solutions provider helping businesses deliver exceptional customer experiences. We specialize in chat support, email support, voice support, and administrative services designed to reduce workload and improve operational efficiency...

    Top Services:

    • SEO
    • Email Marketing
    • Branding
    • Digital Marketing
    • PPC
    • Show more
    Location
    Simi Valley, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $8/hr
    Minimal Budget
    Under $1,000
  • We Keep Your B2B Pipeline Full with Cold Email & LinkedIn Outreach.

    Lead Avenger LLC runs done-for-you cold email and LinkedIn outreach for B2B companies and marketing agencies worldwide.We find decision makers and manage the entire process, from lead research to booking appointments, so you get real conversations and meetings, letting you focus on closing deals...

    Top Services:

    • Email Marketing
    • Digital Marketing
    • BPO
    • Market Research
    • Direct Marketing
    • Show more
    Location
    Albuquerque, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Portfolios Count
    1 Project Listed
  • "Your Trusted Service Partner, Across the Nation."

    ASK 2 PRO delivers expert virtual assistant services nationwide, helping businesses streamline tasks, boost efficiency, and expand their network. From admin to communication, we handle the details so you can focus on growth and success...

    Top Services:

    • Web Development
    • Digital Marketing
    • AI Development
    • HR Outsourcing
    • Customer Support
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $7/hr
  • From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...

    Top Services:

    • Customer Support
    • BPO
    • Market Research
    • Transcription Services
    • Translation Services
    • Show more
    Location
    New York City, New York
    Number of Employees
    250 - 499
    Average Hourly Rate
    $24/hr
  • Unlocking Human Potential.

    Welcome to Cornerstone Global HR, your trusted partner for comprehensive HR services. We specialize in delivering tailored solutions to address the unique challenges faced by organizations in talent acquisition, payrolling, employer of record services, onboarding, and more. With our expertise and commitment...

    Top Services:

    • HR Outsourcing
    • Business Consulting
    • BPO
    Location
    The Woodlands, Texas
    Number of Employees
    Under 49
  • Medical Billing & RCM Company For Healthcare Practices

    Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...

    Top Services:

    • Business Consulting
    • Accounting
    • BPO
    Location
    Corona, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr

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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: 

  • 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.Â