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.

Best BPO Providers

500 Companies-Rankings updated: August 19, 2026

DesignRush evaluates BPO providers based on verified client reviews, service capabilities, industry experience, and operational performance. Some placements may be paid.

  • A High-Tech BPO Services With Latest Technologies

    Our Triniter BPO help top fortune and medium companies to expand their customer support and back-office support teams. As we have offices in Miami, US, Chennai, India and Manila, our BPO company has been able to work 24/7 continuously...

    Location
    Miami, Florida
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000
  • Experience. Reliability. Ethics

    Datascribe is an ISO 9001 and ISO 27001 company rendering high quality legal solutions to our clients through a quantitative and process-driven approach with best-in-class turn-around time and high accuracy...

    Location
    Charlotte, North Carolina
    Number of Employees
    Under 49
  • Live Easy, Live Free With Ossisto

    Our services provide you with a well-structured analysis that will help you make an informed choice. Virtual Assistant services from the United States fully comprehend, support, and operate in accordance with your needs...

    Location
    Perth Amboy, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Empathy Meets Efficiency in Healthcare Revenue Cycle.

    Valerion Health is a U.S.-based healthcare outsourcing agency that partners with hospitals, physician groups and clinics to optimize revenue cycle management through medical coding, billing, auditing and telemedicine support. Blending innovative solutions with deep industry experience, Valerion empowers...

    Location
    Palm Harbor, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $25,000 - $50,000
  • Your Perfect Partner For Improved Revenue Cycle Management Services

    We are a high yield and technology empowered US Healthcare RCM outsourcing company that provides medical billing and medical coding services to prime healthcare providers across the United States...

    Location
    Lansdale, Pennsylvania
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Minimal Budget
    Under $1,000
  • Simplify Your Medical Billing

    Physician Billing Company ensures 99.5% collection of your billed revenue. Serving in 48 states, we are helping independent physicians & practices increase their practice revenue by up to 30%...

    Location
    Irvine, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • We Specialize in Providing a Full Suite Of RCM & Laboratory Billing Services

    We are one of the leading laboratory billing service and AR recovery services providers in the United States. We offer a comprehensive suite of profitable lab revenue cycle management...

    Location
    Williamsport, Pennsylvania
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Proudly Serving America's Workforce Since 1944.

    We're committed to providing multiemployer clients and their members with tailored solutions, superior customer experiences, and local personalized services...

    Location
    Tampa, Florida
    Number of Employees
    1000 & Up
  • Comprehensive On and Offshore Business Process Outsourcing

    Global Agility Solutions offers comprehensive onshore, offshore and hybrid Business Process Outsourcing (BPO) services and solutions focused on automating and advancing repeatable business operations that impact bottom line revenue. Committed to continuous process improvement, industry-leading technology and...

    Location
    Austin, Texas
    Number of Employees
    500 - 999
  • We Listen. We Help. We Care.

    Medcare MSO is a healthcare revenue cycle management (RCM) company dedicated to enhancing the financial performance of healthcare organizations. Through the implementation of best practices and cutting-edge technology tools, we streamline processes, boost revenue, and expedite reimbursement cycles, ultimately...

    Location
    Santa Fe, New Mexico
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Efficient Medical Billing Solutions

    Blitz Medical Billing (BMB) is a locally-owned and operated medical billing company based in Frisco, Texas, offering personalized billing services to emergency medicine practices across the United States. Specializing in emergency medicine billing, it has grown from its roots as the specialty biller for a...

    Location
    Frisco, Texas
    Number of Employees
    Under 49
  • We Provide Medical Billing Services in California.

    Certified Healthcare Billing is a premier medical billing company based in California. We specialize in providing comprehensive billing services tailored to the healthcare industry. Our expertise ensures efficient, accurate, and compliant billing solutions for healthcare providers...

    Location
    Los Angeles, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • We are Here For Your Care

    MediBillMD provides medical billing, coding, and revenue cycle management services to healthcare providers. MediBillMD values are reflected in our dedication to delivering the most efficient solutions for medical billing and revenue cycle management...

    Location
    Dallas, Texas
    Number of Employees
    100 - 249
  • Empower Your Practice with Modern Healthcare Solutions.

    PrognoCIS, a division of Harris Computer has been in the electronic medical record market for over 22 years...

    Location
    Niagara Falls, New York
    Number of Employees
    250 - 499
    Average Hourly Rate
    $280/hr
  • We are a professional medical billing company in Connecticut revolutionizing the revenue cycle.

    We are a professional medical billing company in Connecticut revolutionizing the revenue cycle of providers through cutting-edge billing and coding services...

    Location
    Glastonbury, Connecticut
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Partner for Professional VA.

    VATask offers expert virtual assistant services designed to streamline your business operations and save you time. From administrative tasks to specialized support, our skilled team provides reliable and efficient solutions tailored to your needs. Let us handle the details while you focus on growth...

    Location
    Chattogram, Bangladesh
    Number of Employees
    50 - 99
    Average Hourly Rate
    $15/hr
    Minimal Budget
    Under $1,000
  • At RGT, we are a healthcare-focused outsourcing company.

    Our mission is to empower healthcare providers with reliable, transparent, and cost-effective outsourcing solutions that enhance financial performance and operational efficiency. By focusing solely on RCM and medical billing, we aim to simplify the financial side of healthcare, allowing providers to maximize...

    Location
    Fresno, California
    Number of Employees
    Under 49
  • The NYC medical billing company is based in New York City, the city of lights and elites.

    The NYC medical billing company is based in New York City, the city of lights and elites. We are an award-winning and trusted organization by hundreds of healthcare providers across the entire USA...

    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Streamline Your Revenue With Expert Medical Billing Services.

    Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing, accurate coding, efficient submissions, denial management, centralized billing, in-depth analytics, and secure...

    Location
    Sheridan, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Transforming Businesses With Integrated Services.

    inCall Systems is an Outsourced Business Service Provider (BPO) of over 20 years, offering End-to-End Integrated Marketing and Customer Services solutions that delivers results.Our core expertise comprises Database Management, Customer Interaction Centre and Demand and Lead Generation solutions, we...

    Location
    Singapore, Singapore
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Our Medical Billing Company is committed to Providing

    Wise Medical Billing is a U.S.-based revenue cycle management (RCM) firm that provides end-to-end billing, coding, AR recovery, credentialing and denial management services. Their certified coders and IT-driven team help healthcare practices maximize reimbursement, reduce administrative burden, and streamline...

    Location
    Newark, Delaware
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Grow Your Healthcare Business With Us

    At Humalife Healthcare, we go beyond expectations by delivering high-quality digital tools and services that help healthcare providers work smarter, serve better, and grow sustainably...

    Location
    Claymont, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Precision Billing for Better Practice Health

    Rhode Island Medical Billing is a trusted medical billing agency that partners with healthcare providers to streamline claims processing, manage accounts receivable and maximize reimbursements. The agency focuses on accuracy, compliance and efficiency to help practices improve revenue cycle management...

    Location
    Cranston, Rhode Island
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
  • The Medical Billing Partner You Can Trust

    OneMed Billing helps healthcare providers handle their billing smoothly and correctly. We take care of everything from medical coding and sending claims to following up on denials and collecting payments from patients. Our main focus is to help you avoid delays, keep your cash flow steady, and reduce mistakes...

    Location
    Wilmington, Delaware
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
  • AI-Driven Revenue Cycle Management Services

    IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management...

    Location
    New York City, New York
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $10,000 - $25,000
  • Swagpro Medical Billing Services

    Swagpro Medical Billing Services is recognized as the best medical billing company in Nebraska, offering top-quality, end-to-end medical billing services in Nebraska...

    Location
    Lincoln, Nebraska
    Number of Employees
    50 - 99
    Average Hourly Rate
    $1000/hr
    Minimal Budget
    $1,000 - $10,000
  • BPO Outsourcing Services For Business Growth

    Contasks is a trusted virtual assistant and back-office outsourcing provider. Originally serving transportation companies, we now support a wide range of industries from eCommerce to healthcare. Our mission is simple: cut costs, streamline operations, and help your business grow with confidence...

    Location
    Dublin, Ohio
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Healthcare Billing & Coding Solutions

    Boost revenue cycle management with Medmax Technologies LLC, a trusted us-based medical billing company. Get faster claims and higher reimbursements...

    Location
    Flower Mound, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    Under $1,000
  • Your Partner for Scalable Cost-Effective Outsourcing Solutions.

    SummitNext is a leading BPO company in Malaysia, delivering tailored outsourcing solutions including customer support, telemarketing, data entry, and back-office operations. With a focus on efficiency, innovation, and quality, SummitNext helps businesses scale, reduce costs, and enhance customer satisfaction...

    Location
    Petaling Jaya, Malaysia
    Number of Employees
    500 - 999
  • MedBrilliance RCM - Precision Medical Billing & Revenue Cycle Management

    MedBrilliance RCM is among the USAs top medical billing companies, providing comprehensive billing, coding, and revenue cycle management services for physicians, clinics, and healthcare groups. Our team of certified medical billers and coders excels at reducing aged receivables and resolving claim denials...

    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Flexible Outsourcing for Modern Enterprises

    Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock...

    Location
    Lexington, Massachusetts
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Focus On Patients, Well Handle The Billing

    We specialize in providing accurate, timely, and efficient medical billing solutions for healthcare providers. Our expert services ensure seamless billing processes, helping you focus on patient care while we manage the complexities of billing and claims...

    Location
    Hillside, New Jersey
    Number of Employees
    50 - 99
    Minimal Budget
    Under $1,000
  • 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...

    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...

    Location
    Edison, New Jersey
    Number of Employees
    250 - 499
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Smart Outsourcing Support For Growing Australian Businesses

    At Offshore Assist, we help businesses grow by providing staff leasing solutions that allow you to expand your workforce with skilled professionals. Youll have the ability to train, manage, and nurture your own dedicated team while staying focused on achieving your business goals...

    Location
    Parramatta, Australia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $30/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...

    Location
    Hauppauge, New York
    Number of Employees
    50 - 99
    Minimal Budget
    Under $1,000
  • Trusted Medical Billing Solutions

    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...

    Location
    Dubai, United Arab Emirates
    Number of Employees
    50 - 99
    Average Hourly Rate
    $123/hr
    Minimal Budget
    $1,000 - $10,000
  • 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...

    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...

    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...

    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...

    Location
    Maryland Heights, Missouri
    Number of Employees
    Under 49
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $50,000 & Up
  • Business Process Outsourcing (BPO) and Customer Experience (CX) Provider

    Iterum Connections is a full-service business process outsourcing (BPO) and customer experience (CX) provider with nearshore operations to the U.S...

    Location
    Panama City, Panama
    Number of Employees
    1000 & Up
    Minimal Budget
    Under $1,000
  • 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...

    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...

    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...

    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...

    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...

    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...

    Location
    Webster, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000
  • Offshoring Excellence Redefined

    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...

    Location
    Makati, Philippines
    Number of Employees
    250 - 499
    Minimal Budget
    Under $1,000
  • 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...

    Location
    Albuquerque, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $10,000 - $25,000

4 Frequently Asked Questions About BPO Companies

How much do BPO providers charge for their services?

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: 

  • An hourly rate involves paying for an agent’s time regardless of how many interactions they handle. It runs: 
    • $8 to $15 offshore 
    • $20 to $30 nearshore 
    • $40 to $60+ onshore 
  • Per-agent (FTE) is a flat monthly fee of $1,200 to $4,000 per dedicated agent. Predictable, but you pay the same regardless of the volume. 
  • Per-interaction charges $1–$5 per resolved ticket or $0.50–$2 per chat. Cost-efficient when volume is low or seasonal, but bills spike during busy periods. 
  • Outcome-based ties fees to KPIs like CSAT scores or first-call resolution — typically $3 to $9 per successful resolution. 

How do I compare two BPO providers quoting similar prices?

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. 

What contract terms do most buyers accept that they shouldn’t?

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: 

  1. Auto-renewal clauses can trap you into a long-term agreement if the notice window is short, often 60–90 days. Miss the window, and you’re locked in for another year regardless of performance. 
  2. SLAs without consequences. Most contracts define targets but don’t specify what happens when they’re missed. Your agreement should define redressal terms, whether that’s service credits, payment for damages, or the right to exit early. 
  3. IP and process documentation ownership. Avoid clauses that grant the BPO provider exclusive rights to your intellectual property, or that allow them to sublicense or transfer it to third parties. If they own the runbooks built on your processes, switching vendors gets expensive. 
  4. Exit and termination terms need to include your ability to re-employ key personnel who hold critical knowledge of your account; otherwise, that knowledge walks out with the vendor. 

The simplest check: read the contract assuming performance will eventually disappoint. If you have no leverage when that happens, negotiate before you sign. 

How do BPO companies handle a sudden surge in volume?

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:  

  • Bringing in temporary agents 
  • Moving staff from quieter channels to busier ones 
  • Using chatbots or self-service tools to handle routine questions before they reach a human. Self-service tools can deflect 20-40% of contacts during a surge.  

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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