Find a BPO company that matches your processes, fits your budget, and delivers measurable cost savings and service quality. Our directory lists vetted BPO companies, so you can compare providers with confidence.
Escrow-Healthcare is a Dubai-based medical insurance billing company with nine years of proven expertise in delivering accurate, secure, and end-to-end billing solutions for healthcare providers. As one of the best medical billing companies in the region, we specialize in medical insurance billing, healthcare...
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...
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...
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...
Iterum Connections is a full-service business process outsourcing (BPO) and customer experience (CX) provider with nearshore operations to the U.S...
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...
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...
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...
MedMax RCM delivers expert medical billing and revenue cycle management services, helping healthcare providers streamline claims, reduce denials, and maximize reimbursements...
ScalableOS is a premium offshore staffing partner offering custom solutions for MSPs and Tax & Accounting firms. We provide dedicated staff based in the Philippines, fully integrated into your operations and 100% under your management. Your team with us operates as an extension of yours! Were experts in...
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...
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...
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...
YoursVA, we offer more than virtual assistants we provide a true in-house virtual team. Our trained professionals work together from a managed office environment with proper infrastructure and supervision. This ensures better communication, faster results, and reliable support for your business operations...
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Altis Solutions Inc. o/a as Nimble Assistants is a remote virtual assistance company delivering highly skilled, in-housetrained Virtual Assistants capable of supporting 100+ tasks. Our VAs are available 24/7, respond promptly, and work seamlessly with a wide range of software platforms to adapt to each...
Instant Solution is a top BPO company in Bangladesh, offering world-class call center, data management, and business support services globally. With expertise in data processing, customer support, healthcare BPO, and e-commerce, we ensure secure, accurate, and efficient solutions. Operating in Bangladesh and...
With a legacy dating back to 2016, HiredSupport stands as a true trailblazer in the outsourced customer support realm...
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...
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...
NAPA Global is a premier provider of software development and IT services, established in Da Nang city (Vietnam). Sharing the same passion for technologies, we are devoted to building quality products and solutions trusted by our partners and clients worldwide...
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...
LimTC builds dedicated customer support, customer success, and operations teams for growing businesses. Based in Ukraine since 2017, we source every team member for your specific role against a profile you approve, never a shared agent pool, and you sign off on each hire yourself. A dedicated senior project...
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...
ALLSTARSIT is an international outstaffing service provider that helps businesses recruit, pay, insure, and support top global talent with payroll, benefits, and more...
Mercatus Outsourcing is a BPO and IT service provider, offering multilingual customer support, back-office support, B2B Lead Generation and scalable business solutions for companies across Europe and global markets. Based in Bulgaria and operating within the EU, we combine operational efficiency, reliable...
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...
Intellectual property law services in all CIS countries...
Your AI-Powered Agile engineering team.At Interinnova, we design, build, and launch software with AI helping companies improve results, optimize costs, and accelerate growth.We work with top talent across Latin America and Spain, supported by a strong partner network...
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...
Connext helps companies build custom, dedicated offshore support teams...
DataEntryIndia.in is a leading data management and BPO service provider with over 25 years of experience and 850+ full-time data experts...
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...
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...
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...
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...
A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity...
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...
QuisLex is an award-winning alternative legal services provider that specializes in managed document review, contract management, compliance services, legal spend management, and legal operations consulting...
IQ BackOffice is the leading accounting automation provider, offering 99.97% quality and up to 68% savings to companies around the globe...
UnitedLex is the go-to leader in optimizing legal and accelerating business through digital agility. The world’s most forward-thinking businesses, law departments, and law firms rely on the company’s expertise in over 25 global jurisdictions. Founded in 2006, the team includes 3,000 legal, engineering...
IBT delivers digital transformation and end-to-end Outsourcing services from ideation to execution, facilitating over 1000+ enterprise clients to outperform the competition. “Born digital,” IBT takes an agile, synergetic approach to devising customized solutions across the digital value chain. Our broad...
Established in 2011, Lexvia provides extremely cost-effective, round-the-clock support services for personal injury law firms. Our team members have an in-depth knowledge of the civil litigation process for plaintiff personal injury firms and are trained to work with all case management systems...
Amtex System Inc. is a New York City and State Certified MBE, providing specialized technology platforms and services in Software Development & Information Technology Consulting, Digital Media, Business Intelligence, Mobile Applications and Content Management. Amtex is ranked among the top 4 privately held...
Boon-Chapman serves clients with honesty and integrity—and that's not just a fancy slogan. Working in the best interest of our clients isn't just good business practice, it's what makes us who we are...
Working Solutions is a leader in on-demand contact center outsourcing, with operations in the United States and Canada. Started in 1996, its clients include FORTUNE 500 companies, mid-sized businesses and franchisors...
Consolidated Analytics provides the real estate finance industry with an end-to-end mortgage services platform that delivers value to its customers, from asset-level analyses through enterprise-wide optimization. By harnessing the power of data and technology — and by tapping into the expert insights of our...
VargasAndrews is an international professional services firm specializing in business transformations and turnarounds. Our vision is to become an international market leader in business & digital transformations. We exist to transform businesses and business owner's quality of life. We are motivated and...
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...
Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations...
Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding BPO companies. 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.
DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:
Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.
Business process outsourcing, or BPO companies, charge between $8 and $60 per hour for customer service, with monthly per-agent rates ranging from $1,200 to $4,000 depending on location, skill level, and support complexity.
What you pay depends on the contract structure. There are four main models:
When two BPO firms quote similar prices, the decision should come down to industry experience, agent attrition rates, SLA terms with defined remedies, and how each vendor handles your specific exception cases, not the headline rate.
Ask for case studies from clients in your industry. A BPO company with relevant experience can start right away, while one without it will learn on your dime.
Then go beyond the deck. Give both vendors your two or three most complex support scenarios and ask them to walk you through exactly how they’d handle each one. The vendor with a documented protocol beats the one that says, “We’d escalate.”
Pay close attention to SLA clauses, specifically what happens when they’re missed, not just what the targets are. Two vendors can quote identical SLAs but differ completely on the consequences for missing them.
Finally, ask for the agent attrition rate for the specific team being proposed, not the company average. High turnover on your account means constant retraining and inconsistent service, regardless of the price.
The contract terms most buyers accept are auto-renewal clauses with short notice windows, SLAs with no financial remedy for misses, and IP clauses that leave process documentation owned by the vendor — all of which remove your leverage once performance drops.
Four terms worth pushing back on before you sign:
The simplest check: read the contract assuming performance will eventually disappoint. If you have no leverage when that happens, negotiate before you sign.
BPO companies handle volume surges through a combination of flexible staffing, automation, and cross-trained overflow teams, but how well they execute depends entirely on what your contract says about surge capacity before it happens.
Most BPO providers have a few ways to handle sudden spikes:
But not every BPO provider handles this well. When surges go unmanaged, call abandonment rates can reach 15%, which means frustrated customers and damage to your brand, not the vendor’s.
The right time to ask about this is before you sign. Find out how much notice your BPO company needs to scale up, and what the contract says about volume above your agreed tier.
A vendor who can staff up fast but delivers off-brand service during your busiest period is a liability, not a solution.
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