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

242 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.

  • Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.

    GreenSense Billing stands as a distinguished leader in the realm of medical billing, dedicated to streamlining billing and coding processes within the healthcare industry. Our paramount goal is to simplify these intricate procedures, strategically minimizing costs while optimizing revenue collection for our...

    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/hr
  • Top-rated Medical Billing Company in the USA

    Transcure Medical Billing Services offers nationwide medical billing, focusing on accurate coding, timely claims, and reducing denials. We help small and specialty practices streamline billing, improve reimbursements, and maintain financial stability, so you can focus on patient care...

    Location
    Farmers Branch, Texas
    Number of Employees
    1000 & Up
    Minimal Budget
    Under $1,000
  • Brand aligned outsourcing solutions

    Founded in 2020, Otonomee is one of the worlds first purpose built, remote first, outsourcing companies (BPO) who provides partner companies with outsourced sales and customer support solutions. We design, build and operate outsourced people and technology solutions for growing businesses. Our solutions help...

    Location
    Cork, Ireland
    Number of Employees
    250 - 499
  • The BPO With A Heart

    Founded in 2002, Antasis is a trusted Singapore-based provider of outsourced business solutions. We deliver world-class customer service, IT support, and back-office operations through a flexible, innovative workforce. Certified in ISO 27001, ISO 9001, Bizsafe Level 3, COPC, and Six Sigma, we ensure quality...

    Location
    Singapore, Singapore
    Number of Employees
    250 - 499
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Expert Medical Billing Services

    MZ Medical Billing provides end-to-end medical billing services for clinics, hospitals, and multi-specialty practices across the United States. The team manages eligibility checks, coding review, claim submission, denial follow-ups, A/R recovery, and patient billing, helping providers maintain predictable...

    Location
    St. Petersburg, Florida
    Number of Employees
    100 - 249
    Portfolios Count
    1 Project Listed
  • Simplifying Compliance And Amplifying Greatness.

    CKH Group, a CPA-led firm offering powerful assurance, tax, accounting, and advisory services to small businesses, global enterprises, and government entities. CKH Group also provides customized outsourcing solutions to meet your business's accounting needs...

    Location
    Atlanta, Georgia
    Number of Employees
    100 - 249
    Portfolios Count
    1 Project Listed
  • Offshore Online Data Entry

    Data entry outsourcing or multitasking the internal methods; is one of the aspects every organization across the globe has to embrace with open arms, to keep pace with the cutthroat competition, while dealing with tons of data that needs to be digitized – accurately and efficiently...

    Location
    Bergenfield, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000
  • Unlock Possibilities in Healthcare Management.

    Sunknowledge Services Inc. is a dynamic medical billing services & collections company extending superior, proprietary technologies, workflow, and business processes that exceed clients' expectations and enhance their revenue cycle. Focused on providing operational enhancements while significantly reducing...

    Location
    New York City, New York
    Number of Employees
    Under 49
  • Impact That Drives Performance

    GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 9,500-strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient...

    Location
    East Haven, Connecticut
    Number of Employees
    Under 49
  • Medical Virtual Assistants

    Phoenix Virtual Solutions places dedicated virtual medical assistants with US home health agencies, hospice organizations, and medical practices. Built by healthcare operators with 75+ years of experience. HIPAA-trained, performance-managed, zero-risk replacement. Clients save up to 60% on labor...

    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
  • 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
  • Boost Your Customer Reviews Today

    At Convuent, we understand that reviews and mentions can make or break a business. That's why we offer a suite of tools designed to help you get more customer reviews, showcase your best ones, and mitigate any negative ones already out there...

    Location
    San Clemente, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Complete revenue cycle management services from the highest reviewed RCM partner working with you.

    BellMedex is the nation's most highly rated revenue cycle management company. Our customers enjoy superior communication, rapid response times, best-in-class claims management, and exceptional claim follow-up and denial management...

    Location
    Seattle, Washington
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • 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
  • Backoffice Outsourcing Excellence

    BackOffice Pro, a leader in backoffice outsourcing, enables businesses to escalate their growth. We handle non-essential parts of your operation, allowing you to focus on your core competencies...

    Location
    Princeton, New Jersey
    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
  • 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
  • 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
  • Trusted Medical Billing Company Across United States

    AIM RCM Solutions is a trusted partner for healthcare practices looking to improve billing and revenue cycle management...

    Location
    Albany, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Leading Healthcare RCM Company in New York

    Routine audits are key to ensuring accurate billing and regulatory compliance. At eBridge RCM LLC, we conduct comprehensive monthly billing audits designed to uncover errors, monitor performance trends, and reveal areas for operational enhancement. Our timely evaluations and easy-to-understand reports empower...

    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • 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
  • 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
  • Medical Billing Services By MedHuts

    MedHuts provides professional medical billing, coding, and revenue management services to help healthcare providers improve efficiency and reimbursement...

    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
  • 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
  • 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
  • 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
  • RCM Solutions That Prevent Revenue Leakage

    Elite MedBilling Solutions & Revenue Cycle Management provides end-to-end medical billing services that cover the complete revenue cycle, from charge entry and coding to claims submission and payment posting. Our integrated approach helps reduce denials, improve collections, and keep your reimbursements...

    Location
    Brentwood, Tennessee
    Number of Employees
    100 - 249
    Average Hourly Rate
    $100/hr
  • Take Care Of Your Patients, We Will Take Care Of Your Revenue.

    CareRevenue helps dental practices optimize revenue through intelligent billing, insurance verification, and denial management. Combining automation with expert support, CareRevenue streamlines the entire revenue cycle to deliver faster payments and stronger financial outcomes...

    Location
    Kissimmee, Florida
    Number of Employees
    500 - 999
  • Reliable Virtual Support

    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...

    Location
    Kotchandpur, Bangladesh
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000

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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