The top BPO agencies in 2026 are Blue Orbits, CareCloud, and Keach Assistants,
selected from 62 agencies vetted by DesignRush on the basis of verified
client reviews (4.5 avg. rating), project outcomes and industry expertise.
Blue Orbits leads the ranking for BPO, followed by CareCloud and Keach Assistants.
Reviews undergo a stringent verification process to ensure reliable information about each agency from verified past clients.
We’ve updated our Average Star Rating system to give you the most accurate summary of all client reviews.
Read more.
DesignRush evaluates BPO providers based on verified client reviews, service capabilities, industry experience, and operational performance. Some placements may be paid.
Our technical excellence ensures that we ignite innovation while safeguarding your MVPs through cost-effective resources...
Location
Kuala Lumpur, Malaysia
Number of Employees
50 - 99
Average Hourly Rate
$15/hr
Minimal Budget
$10,000 - $25,000
Portfolios Count
18 Projects Listed
Blue Orbits Services
Mobile App Development
Web Development
BPO
Software Testing
Software Development
VR/AR
AI Development
eCommerce Development
Web Design
UI/UX Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
IT Industry
Funded Startups
Custom Software Development
Incubators and Startup accelerator
Data sourced from the agency's DesignRush profile
Blue Orbits Reviews & Testimonials
Bushra Helen
Assistant Manager at Noe Restaurant & Bar
5.0★
eCommerce Development Review from Bushra Helen
Blue Orbits seems to be very expert in designing E-commerce systems, they not only suggested us the best approach but also helped us launching and integrate our store. Thank you.
Garrett Bernardo
CEO at NOVUS
5.0★
Mobile App Development Review from Garrett Bernardo
We wanted a QR based digital wallet and they delivered the exact solution that we wanted. Thank you team Blue Orbits, I will be definitely hiring you for the next task we have.
Reviews verified by DesignRush and sourced from the agency's profile
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CareCloud, Inc. is a prominent provider of proprietary cloud-based healthcare solutions for expanding healthcare organizations.
CareCloud (Nasdaq: CCLD, CCLDP, CCLDO), formerly known as MTBC, provides the most comprehensive technology-enabled solutions to healthcare organizations of all sizes and across the...
Location
Clyde, New Jersey
Number of Employees
1000 & Up
Average Hourly Rate
$20/hr
Portfolios Count
8 Projects Listed
CareCloud Services
Wearables
AI Development
Software Development
ECM Consulting
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Fox Rehab
Alpha Dermatology
Alvior Medical
Corpus Christi Urology
Franco & Co
Lifearts Integrated Health Center
Poplar Bluff Urology
Premier Dermatology
Sanova Dermatology
The Foot Group
Data sourced from the agency's DesignRush profile
CareCloud Reviews & Testimonials
Denise Martinez
Medical Assistant at Corpus Christi Urology Group
5.0★
BPO Review from Denise Martinez
We heard very impactful things about CareCloud from another large urology practice, we needed a solution that interfaced well and would support the growth of the practice.
Tanner Hynes
VP of Operations at US Physiatry
5.0★
BPO Review from Tanner Hynes
CareCloud has been there every step of the way.
Dr. Daniel Shrager
Board Certified Dermatologist at Alpha Dermatology
5.0★
BPO Review from Dr. Daniel Shrager
CareCloud has helped make our growth easier, If I did have the opportunity to expand with more providers, CareCloud would be the place to go to support that.
Reviews verified by DesignRush and sourced from the agency's profile
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Transform Your Workflow with Highly Skilled Virtual Assistants.
Keach Assistants is a U.S.-based virtual assistant company specializing in providing expert bookkeeping, accounting, eCommerce, and data entry services. Our team of highly skilled virtual assistants is equipped to handle the complexities of modern business tasks, helping you streamline operations and improve...
Location
Houston, Texas
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Keach Assistants Services
eCommerce
Accounting
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Soul2Summit
Zenith Stallion Station
Team Trinity Fitness
Promethean Risk Solutions
Data sourced from the agency's DesignRush profile
Keach Assistants Reviews & Testimonials
Cary Caballero
Director of Marketing at Cosmetic Group USA
5.0★
Social Media Marketing Review from Cary Caballero
I can confidently say that Keach Assistants have greatly boosted our business. They also coordinate our appointments, call our clients, and in some cases promote our business. They provide strong support and clear all fields that allow us to concentrate on the sales and expansion of our company. The service has been splendid!
Kristine Holly
Chief Technical Officer (CTO) at Confidential
5.0★
Virtual Assistant Review from Kristine Holly
Billing of medical records was a very large issue until we sought the services of Keach Assistants. Their virtual assistants have helped in our billing process in that we process the payments faster than before and with little or no errors. Im glad we are able to get this very important part of our business taken care of in such an organized manner.
Kaylee Slone
Digital Marketing Manager at Authors Breeze
5.0★
Business Consulting Review from Kaylee Slone
Being a completely scatty and non-tech driven "creative," I could not survive without Keach Assistants. They are calm people who can bring me down from the ceiling when I am panicked about something and who can deal with the more complicated details of my business proficiently and charmingly. It is always nice also to learn from them because they are knowledgeable in a wide range of business skills. Without a doubt, I would highly endorse their services to anybody seeking the services of a highly skilled VAs, but still offering fairly affordable prices.
Reviews verified by DesignRush and sourced from the agency's profile
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Enfinity Medical Billing optimizes revenue with expert billing, credentialing & consulting.
Enfinity Medical Billing is a healthcare revenue cycle management company that helps organizations maximize revenue and streamline operations through medical billing, transcription, credentialing, auditing, and consultation services...
Location
East Brunswick, New Jersey
Number of Employees
50 - 99
Average Hourly Rate
$20/hr
Minimal Budget
Under $1,000
Portfolios Count
1 Project Listed
Enfinity Medical Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Greenwood Family Dentary
City Urgent Care
Malibu Medical Group
Alternative Care Physical Therapy
Rangel Dental
Madison Dental
Data sourced from the agency's DesignRush profile
Enfinity Medical Billing Reviews & Testimonials
Masaud Khan
Review from Google
5.0★
Masaud Khan's Review Sourced from Google
As a healthcare provider, I have greatly benefited from Enfinity Medical Billing, both personally and for my clinic. They have made a significant positive impact on my practice, streamlining my work and making my professional life much easier.
Reviews verified by DesignRush and sourced from the agency's profile
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Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Location
Evesham, New Jersey
Number of Employees
50 - 99
Average Hourly Rate
$20/hr
Portfolios Count
3 Projects Listed
SwiftCare Billing LLC Services
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
Accounting
Web Design
Web Development
WordPress Website Design
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Dental Industry
Insurance Industry
HR Industry
BPO
Outsourcing
Medical Billing
Data sourced from the agency's DesignRush profile
SwiftCare Billing LLC Reviews & Testimonials
Julie Formica
Office Administrator at Redefine Healthcare
5.0★
Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.
One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.
While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.
Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
Reviews verified by DesignRush and sourced from the agency's profile
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Hire Live Support is a full-scale BPO service provider and a digital marketing company with 10+ years clientele and preparedness. We specialize in providing the leading live support services and new-age digital marketing gigs to SMEs, Enterprises, and Startups to delegate, scale, and manage business...
Location
Cerritos, California
Number of Employees
250 - 499
Average Hourly Rate
$5/hr
Minimal Budget
Under $1,000
Portfolios Count
16 Projects Listed
Hire Live Support Inc Services
Call Centers
BPO
Web Design
Web Development
SEO
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Goggles4u
Savers
Hyperanimation
Eyeglasses.pk
Data sourced from the agency's DesignRush profile
Hire Live Support Inc Reviews & Testimonials
Alex Stone
Review from Google
5.0★
Alex Stone's Review Sourced from Google
Partnering with Hire Live Support has been one of the best decisions for Our Company. Over the past two years, they have consistently delivered exceptional service and have handled our operations seamlessly, allowing us to focus on growth without any operational worries.
We currently have a team of 13 experienced agents working with us through Hire Live Support across multiple departments, including Customer Support Representatives, Go-High Level Tech Experts, and exceptional Customer Experience Agents. The level of professionalism, dedication, and reliability they bring is truly outstanding. They have ensured smooth day-to-day functioning, provided well-trained resources, and managed our processes with complete accountability.
Finding an outsourcing agency as reliable as Hire Live Support is rare. They have been the most dependable and trustworthy partner I’ve worked with, and I continue to be impressed by their commitment to excellence.
I highly recommend Hire Live Support to anyone looking for a reliable outsourcing partner.
Brit Wilbanks
Review from Google
1.0★
Brit Wilbanks's Review Sourced from Google
Please don't apply to companies open jobs posing as a candidate. The job market is hard enough for people out here, without businesses getting flooded with other businesses slide decks trying to make sales connections.
Sincerely,
The recruiter who had to look at your stupid slide deck.
Reviews verified by DesignRush and sourced from the agency's profile
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MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...
Location
Miami, Florida
Number of Employees
500 - 999
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
MiXBS, LLC Services
Call Centers
Phone Answering Services
Customer Support
Business Consulting
BPO
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
CDEK
Buch
Ramayoga
Imark Tech
SovPlym
KNOVR
Data sourced from the agency's DesignRush profile
MiXBS, LLC Reviews & Testimonials
Kevin Swindlehurst
Airline Operations Supervisor at Flightworx Aviation
5.0★
Customer Support Review from Kevin Swindlehurst
If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.
Reviews verified by DesignRush and sourced from the agency's profile
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Dedicated virtual assistants and full phone teams, matched in 3 to 5 days, managed daily by our team, and backed by a 110-Day Guarantee. You run the business. We run the team...
Location
Quezon City, Philippines
Number of Employees
50 - 99
Portfolios Count
1 Project Listed
Armasourcing Services
BPO
Customer Support
Call Centers
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Tekton Growth
NorCal Pool Service
Click Press Hub
Ask Away Health
Twin Cities Auto Auction
Data sourced from the agency's DesignRush profile
Armasourcing Reviews & Testimonials
Biboy Sama
Review from Google
5.0★
Biboy Sama's Review Sourced from Google
I’ve worked with other VAs before, but this company provides a different level of professionalism. My assistant is punctual, proactive, and requires minimal supervision. It’s like having a full-time employee at a fraction of the cost.
Zion Drake
Review from Google
5.0★
Zion Drake's Review Sourced from Google
Alessandra really listens. She matched us with a remote assistant who fits our company like a glove. And Eli’s leadership, grounded in faith and service, gives this business real soul.
Panoy Lorrie Claire V.
Review from Google
5.0★
Panoy Lorrie Claire V.'s Review Sourced from Google
Eli clearly knows how to build a values-based business. Every interaction I had with Allyza felt intentional and uplifting. We love our new hire—and the social impact makes us even prouder to be clients.
Reviews verified by DesignRush and sourced from the agency's profile
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Vetted Virtual Assistants with a Broad Range of Expertise
myVA360 provides on-going, on-demand support for businesses of all sizes. Get matched with a dedicated virtual assistant with a wide range of skills, for a fraction of the cost of hiring an employee...
Location
Miami, Florida
Number of Employees
Under 49
Average Hourly Rate
$24/hr
Minimal Budget
Under $1,000
myVA360 Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We Provide ABA therapy billing and insurance services.
At Cube Therapy Billing LLC, we bring over 16 years of proficiency to credentialing services, serving 650+ providers with a commitment to excellence. Our professional team ensures seamless integration with various insurances nationwide, emphasizing timely approvals and billing efficiency...
Location
Dover, Delaware
Number of Employees
50 - 99
Cube Therapy Billing, LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We are a medical billing firm that provides '24/7 Medical Billing Services' and provides end-to-end medical billing solutions to physicians, hospitals, medical institutes, and group practices. With our speedy and low-cost services, we help you earn more money. Our tailored Income Cycle Management (RCM)...
Location
Marietta, Georgia
Number of Employees
250 - 499
Average Hourly Rate
$8/hr
Portfolios Count
1 Project Listed
24/7 Medical Billing Services Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dr. Mythili Ramachandran
LakeSide Medical Group
Olympus Medical Billing Corporation
Data sourced from the agency's DesignRush profile
24/7 Medical Billing Services Reviews & Testimonials
alex alex
Review from Google
5.0★
alex alex's Review Sourced from Google
Excellent service provider for every Practice where 247 Medical Billing will help you to increase your Cash-flow working with your old or stuck denials, Definitely a very good platform for maintaining your medical billing where you don't need to worry about any paperwork you just need to focus on your practice rest of the things manage by 247 medical billing which will help you to enhance your practice growth and work on your Revenue Generation.
247 Medical Billing is best Helping Hand for each and every practice to grow rapidly .
Ken Staten
Review from Google
5.0★
Ken Staten's Review Sourced from Google
My clients are very satisfied with this company. They do the full spectrum of billing. Their follow-up is impeccable. Close and constant communication with clients ensures optimum cash flow and client service.
Reviews verified by DesignRush and sourced from the agency's profile
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Enhancing Healthcare Rcm With Superior Accuracy and Efficiency
MediBill RCM is leading medical billing and coding company in the U.S, based in Texas. As an accredited online medical billing and coding company in America, our certified specialists support your practice from patient arrival to payment, focusing on improving your revenue cycle management...
Location
Houston, Texas
Number of Employees
100 - 249
Average Hourly Rate
$30/hr
Minimal Budget
$1,000 - $10,000
MediBill RCM Services
BPO
Business Consulting
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Insurance Industry
Wellness & Fitness Industry
Data sourced from the agency's DesignRush profile
MediBill RCM Reviews & Testimonials
Jaqueline Ortiz
Review from Google
5.0★
Jaqueline Ortiz's Review Sourced from Google
They are amazing I have been working with them for almost 3 years now and they are very good at communicating their needs and questions. Also very good at keeping all work in track and amazingly professional.
Sulaimon Bakre
Review from Google
5.0★
Sulaimon Bakre's Review Sourced from Google
I have been utilizing their virtual assistant service and the assistant has been very dependable, punctual and very respectful towards my patients. Patients also give positive feedback as well. I will highly recommend.
Gianni Leano
Review from Google
5.0★
Gianni Leano's Review Sourced from Google
I’ve had an outstanding experience with this medical billing, coding, and credentialing team. They are incredibly knowledgeable, detail-oriented, and efficient. Their communication is clear and timely, and they’re always available to answer questions or provide updates. It's a huge relief to have a team we can fully trust with such an important part of our practice. Highly recommend!
Reviews verified by DesignRush and sourced from the agency's profile
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Kimon Services is a UK-based company specializing in cost-effective outsourced business admin solutions, including dedicated customer support, data entry, and back-office staffing. We offer managed offshore teams and Employer of Record (EOR) services tailored to client needs, helping businesses reduce costs...
Location
London, United Kingdom
Number of Employees
1000 & Up
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Kimon Services Services
BPO
Customer Support
Accounting
HR Outsourcing
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Global Guardians
GorillaHub
21st Century AV Ltd
n-gage messenger
Meeting Store
PNG CR
Data sourced from the agency's DesignRush profile
Kimon Services Reviews & Testimonials
Martin F
Review from Google
5.0★
Martin F's Review Sourced from Google
Excellent company. Michael works hard to understand your needs and create a customised service around your specific requirements. The VA's have been able to accurately fulfil our scope of work and at an affordable price point.
Reviews verified by DesignRush and sourced from the agency's profile
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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
Otonomee Services
BPO
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
MZ Medical Billing Services
BPO
Digital Marketing
SEO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Purview Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Humalife Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Dental Industry
Health Care Industry
Wellness & Fitness Industry
Data sourced from the agency's DesignRush profile
Humalife Healthcare Reviews & Testimonials
Jayanti Roy
Review from Google
5.0★
Jayanti Roy's Review Sourced from Google
Excellent experience with Humalife Healthcare! The process was smooth and the team was very supportive and professional throughout
Anayana Kanwar
Review from Google
5.0★
Anayana Kanwar's Review Sourced from Google
Great experience overall! The team was professional, supportive, and delivered exactly what I needed. Highly recommended.
Reviews verified by DesignRush and sourced from the agency's profile
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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
IDS Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Swagpro Medical Billing Services Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Dental Industry
Wellness & Fitness Industry
Data sourced from the agency's DesignRush profile
Swagpro Medical Billing Services Reviews & Testimonials
Courtney Miller
Review from Google
5.0★
Courtney Miller's Review Sourced from Google
I am the clinical director for a community-based outpatient mental health counseling center. I also oversee the agency's business operations. Our agency has struggled in past years with finding a billing vendor and lost significant revenue during that time. From the beginning of our relationship with Swagpro (2023), we have had a significant increase in billing efficiency. The Swagpro team has provided exceptional service, consistently even when they have had internal transitions. They are very responsive to any questions, typically in less than 24 hours, with friendly and knowledgeable team members. I, as an administrator who is responsible for overseeing the agency's financial sustainability, highly recommend Swagpro for medical billing services!
Amanda Austin-Mafilika
Review from Google
5.0★
Amanda Austin-Mafilika's Review Sourced from Google
I have worked with Swagpro as my billing team for my psychotherapy practice and they are always on top of things. They have always handled my billing issues with courtesy, swiftness, and professionalism. I would definitely recommend!
Megan Matulka
Review from Google
5.0★
Megan Matulka's Review Sourced from Google
Swagpro has been a game changer and business saver for me. All my questions and concerns were promptly answered. I was hesitant to use a billing service due to a couple of other contracting experiences, but they have been able to fix everything without adding stress to me. Praveen Potti and his team listen, validate, and are extremely knowledgeable about billing services across medical AND mental health services. I cannot recommend them enough!
Reviews verified by DesignRush and sourced from the agency's profile
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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
MedBrilliance Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Mastermind Healthcare RCM Tactics Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
iSolve RCM Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Wellness & Fitness Industry
Dental Industry
Data sourced from the agency's DesignRush profile
iSolve RCM Reviews & Testimonials
Shani Cerritos
Review from Google
4.0★
Shani Cerritos's Review Sourced from Google
I paid iSolve RCM to credential me with Medicare and Medicaid. Neither process went smoothly. I did end up getting credentialed with Medicare, but not Medicaid. There were so many complications with this process. If the person that was helping me paid attention, they would have seen that I needed to have my Medicaid credentials revalidated not fully credentialed. I was told I was credentialed and began seeing clients. When I couldn’t enter the system, I called medicaid, just to be told my credentials were suspended due to not being revalidated. I reached out to iSolve to fix this problem or get my money back. However, they did not have the knowledge on how to fix this situation, and said that there was nothing that they could do. I just took the L and credentialed myself. I’m only giving 2 stars, because the person I worked with was nice and responsive to my emails.
Update: iSolve RCM worked with me to rectify the situation and I am very satisfied! They want to ensure customer satisfaction. They are professional and dedicated.
Reviews verified by DesignRush and sourced from the agency's profile
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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
UControl Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Medhuts Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Wellness & Fitness Industry
Health Care Industry
Dental Industry
Data sourced from the agency's DesignRush profile
Medhuts Reviews & Testimonials
Maliha Maheen
Review from Google
4.0★
Maliha Maheen's Review Sourced from Google
We’ve been working with MedHuts for a while now, and the experience has been consistently positive. Claims are submitted promptly. Shams and his team is very responsive and super knowledgeable . I would highly recommend!
Ihsan Ullah Khan
Review from Google
5.0★
Ihsan Ullah Khan's Review Sourced from Google
My name is Dr Ihsan Ullah khan.I am Anesthetist.This is a great medical billing company to work with.We are having a very good experience with this company
MarieAnge Swindells
Review from Google
5.0★
MarieAnge Swindells's Review Sourced from Google
Fantastic application and support! The product was quick and makes things effective and more efficient. Highly recommend this service
Reviews verified by DesignRush and sourced from the agency's profile
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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
MedsIT Nexus Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Expeditious Medical Billing Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Prime Doc Billing LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Wellness & Fitness Industry
Dental Industry
Health Care Industry
Data sourced from the agency's DesignRush profile
Prime Doc Billing LLC Reviews & Testimonials
Norma Sime
Review from Google
5.0★
Norma Sime's Review Sourced from Google
The team at Prime Doc Billing has been a pleasure to work with. They’ve helped us navigate complex billing challenges with expertise and efficiency, and they’re always quick to respond to any questions we have. Their reports are thorough, clear, and easy to understand, which has significantly improved our billing process. We truly appreciate their reliability and support. The management team is friendly, attentive, and consistently goes above and beyond to ensure complete satisfaction. Sincerely Integrative Wellness IV Clinic.
Tahseen
Review from Google
5.0★
Tahseen's Review Sourced from Google
We recently launched a new vascular surgery practice, and Prime Doc Billing has been an exceptional partner from day one. Their team is enthusiastic, energetic, and always available whenever we need support.
Prime Doc guided us through the entire credentialing process with remarkable dedication. Even though we were sometimes delayed in sending documents, their team stayed on top of every insurance company and never let anything fall through the cracks. Thanks to their persistence and expertise, our credentials were approved smoothly.
As we prepare to open our practice, we are extremely grateful for their hard work and professionalism. We look forward to continuing our relationship with Prime Doc for VA services and billing support.
They are truly great people to work with, and we highly recommend Prime Doc Billing to any new or existing medical practice looking for reliable, knowledgeable, and committed billing professionals.
Dr Abid Khan
Sarah Quesada
Review from Google
5.0★
Sarah Quesada's Review Sourced from Google
The team at Prime Doc Billing has been amazing to work with! They've helped us sort through some really tricky billing issues and have always been quick to respond whenever we have questions. Their reports are super detailed and easy to understand, and they've made our billing process so much more efficient. We really appreciate how reliable and helpful they are.
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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
Healthcare Billing Services Services
BPO
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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
Medetec Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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 Lien Management, Inc Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Connexus Cure Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Pro MBS LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Location
Franklin Square, New York
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Minimal Budget
$10,000 - $25,000
Mediknocx Services
BPO
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WeCare Billing LLC is a trusted medical billing and revenue cycle management company that helps healthcare providers maximize revenue through accurate billing, faster claim processing, proactive denial management, and compliance-focused solutions tailored to practices of all sizes...
Location
Boynton Beach, Florida
Number of Employees
100 - 249
Average Hourly Rate
$25/hr
WeCare Billing LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Medical Billing Company | Billing Services As Low As 2.89%
We are Providers Care Billing LLC, a medical billing company based in Illinois, USA, offering comprehensive medical billing and coding services at a competitive rate of just 2.89%. With a 4.9-star rating and outstanding client feedback, we proudly maintain a 100% satisfaction rate...
Location
Schaumburg, Illinois
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Providers Care Billing LLC Services
BPO
Business Consulting
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Wellness & Fitness Industry
Dental Industry
Data sourced from the agency's DesignRush profile
Providers Care Billing LLC Reviews & Testimonials
Andy Huys
Review from Google
5.0★
Andy Huys's Review Sourced from Google
Providers Care Billing has been amazing for my private practice needs over the past year. Gustavo and his team are attentive, quickly responsive and professional in every way. I highly recommend using their services!
Practice Administrator
Review from Google
5.0★
Practice Administrator's Review Sourced from Google
Providers Care Billing has been amazing. As we expanded we needed support to continue in our insurance billing department. Transition to them was seamless, they are professional, extremely knowledgable and I highly recommend them. They are on top of everything, and very responsive.
Katie Kussard
Review from Google
5.0★
Katie Kussard's Review Sourced from Google
We started our practice almost a year ago and have been using Providers Care Billing since the beginning. Gustavo and his team have been amazing! They respond to our questions in a very timely manner and have supported us in resolving any issue we have had with insurance companies. The rate we pay for this service can't be beat. We highly recommend Providers Care Billing.
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We help businesses deliver fast, reliable, and professional customer support across all channels. Whether you need inbound support, outbound follow-ups, or a dedicated remote team, we tailor our services to fit your operations and scale with your growth...
Location
St. Petersburg, Florida
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Portfolios Count
2 Projects Listed
The Acme Solutions Services
BPO
Customer Support
Phone Answering Services
Call Centers
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Dastify Solutions is an AI-powered medical billing/RCM company (Austin, TX). 500+ certified experts cut errors by 99%. Full RCM, AR, & credentialing for 75+ specialties on a pay-for-paid model. Integrates with 600+ EHRs...
Location
Austin, Texas
Number of Employees
100 - 249
Average Hourly Rate
$15/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
1 Project Listed
Dastify Solutions Services
BPO
Email Marketing
SEO
Digital Marketing
Social Media Marketing
Managed Services
IT Services
Business Consulting
Call Centers
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Beauty Industry
Health Care Industry
Wellness & Fitness Industry
Data sourced from the agency's DesignRush profile
Dastify Solutions Reviews & Testimonials
Yami Sozi MD
Review from Google
5.0★
Yami Sozi MD's Review Sourced from Google
We’ve been partnering with Dastify Solutions for our mental health practice, and they have been absolutely fantastic to work with. The onboarding process was seamless, thanks to Andy Adams on the sales side he was incredibly nice, patient, and made sure all our initial questions were answered. On a day-to-day basis, Ricky, our operations manager, has been a total lifesaver. He handles all of our billing and complex mental health prior authorizations flawlessly. It’s a huge relief knowing our claims are in such capable hands. Highly recommend them!
Jesse Vaughan
Review from Google
5.0★
Jesse Vaughan's Review Sourced from Google
I’ve worked with four medical billing companies over the past decade. Dastify Solutions is in a different league. Their 97.4% first-pass acceptance rate isn’t marketing — we verified it against our own EOB data. Their credentialing and provider enrollment services managed five new providers last year with zero billing gaps. On the accounts receivable management side, our days in AR dropped from 52 to 31 and collections improved over 30%. For any growing practice evaluating medical billing services, Dastify delivers the precision and compliance most RCM companies only promise.
Robert Coleman
Review from Google
5.0★
Robert Coleman's Review Sourced from Google
Running a behavioral health practice with 12 providers across psychiatry and substance abuse treatment means complicated billing. We brought in Dastify Solutions for end-to-end revenue cycle management and the results were immediate. Their credentialing services got three new providers paneled in under 45 days. They restructured our charge capture, implemented real-time eligibility verification, and our net collection rate jumped from 89% to 96%. Their AR management team lets nothing fall through the cracks. Dastify doesn’t just process claims — they protect your revenue.
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Quicklyster provides fully managed 24/7 customer support and Tier 1 tech support for SaaS, eCommerce, and digital-first brands. We offer free backup agents, fast deployment, native English agents, and flexible pricing all without contracts or setup fees. Whether you need live chat, phone, email, or helpdesk...
Location
New York City, New York
Number of Employees
50 - 99
Average Hourly Rate
$9/hr
Minimal Budget
$1,000 - $10,000
Quicklyster Virtual Services Services
BPO
Social Media Marketing
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Hypeify helps startups and high-growth companies scale marketing teams affordably by sourcing top-tier marketing talent from Latin America. We connect you with vetted marketing specialists in social media, paid ads, email, content, design, video, web, and analytics. With flexible plans, full onboarding...
Location
Palm Springs, Florida
Number of Employees
Under 49
Average Hourly Rate
$15/hr
Minimal Budget
$1,000 - $10,000
Hypeify Services
BPO
HR Outsourcing
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Small Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Location
Chicago, Illinois
Number of Employees
Under 49
Average Hourly Rate
$150/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
3 Projects Listed
Fred Lundin CPA LLC Services
Business Consulting
Market Research
Accounting
BPO
CRM Consulting
ERP Consulting
Cybersecurity
IT Services
IT Compliance Solution
Cloud Consulting
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Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...
Location
Cheyenne, Wyoming
Number of Employees
50 - 99
Average Hourly Rate
$15/hr
Portfolios Count
1 Project Listed
Malakos Healthcare Solutions Services
Customer Support
IT Services
BPO
Call Centers
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ANR Medical Billing LLC is a Connecticut-based revenue cycle management company helping healthcare providers maximize reimbursements and reduce claim denials. We specialize in end-to-end medical billing, coding, credentialing, and denial management for practices across the USA...
Location
New London, Connecticut
Number of Employees
Under 49
Average Hourly Rate
$30/hr
Minimal Budget
$1,000 - $10,000
ANR Medical Billing Services
BPO
Transcription Services
Business Consulting
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Afrishore BPO is a leading South Africa call center and customer support outsourcing provider, delivering high-quality voice, email, and chat support to companies in the US, UK, and Europe. Our English-speaking South African agents provide exceptional customer experience at a fraction of the cost of onshore...
Location
Sandton, South Africa
Number of Employees
1000 & Up
Average Hourly Rate
$12/hr
Minimal Budget
$10,000 - $25,000
Afrishore Services
BPO
Accounting
Digital Marketing
PPC
Email Marketing
Social Media Marketing
Video Production
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Insurance Industry
Travel Industry
Retail Industry
eCommerce Industry
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Afrishore Reviews & Testimonials
Vidal Esono mba
Review from Google
5.0★
Vidal Esono mba's Review Sourced from Google
I appreciate the company's focus on quality and customer experience. Employees understand the importance of delivering excellent service and there is a strong commitment to maintaining high standards.
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Scale Your Business With Quality Outsourced Teams In Back Office Support.
RPM stands out as a comprehensive solution provider, offering bilingual expertise in both English and Spanish, with the flexibility to provide full-time or part-time dedicated resources, fully managed to meet diverse operational needs. Our capabilities span a wide spectrum, encompassing intricate back-office...
Location
San Jose, California
Number of Employees
100 - 249
Minimal Budget
Under $1,000
RPM Services
BPO
Customer Support
Call Centers
Staff Augmentation
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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...
Location
Albany, New York
Number of Employees
Under 49
Average Hourly Rate
$35/hr
ProRCM LLC Services
BPO
Business Consulting
CRO
ERP Consulting
ECM Consulting
Big Data Analytics
Managed Services
CRM Consulting
HR Outsourcing
Customer Support
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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...
Location
Phoenix, Arizona
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Star Billing Solutions Services
BPO
Customer Support
Transcription Services
Phone Answering Services
CRM Consulting
Managed Services
Cloud Consulting
AI Development
CRO
Digital Marketing
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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...
Location
Austin, Texas
Number of Employees
Under 49
Average Hourly Rate
$149/hr
Minimal Budget
$10,000 - $25,000
Touch To Services
Software Development
BPO
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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!...
Location
Pueblo, Colorado
Number of Employees
50 - 99
Average Hourly Rate
$8/hr
Minimal Budget
$1,000 - $10,000
PixelBuddy Solutions Services
HR Outsourcing
BPO
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Aviate
Massage and Wellness
Paramount Attorney
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PixelBuddy Solutions Reviews & Testimonials
Jeff M Biddle
Review from Google
5.0★
Jeff M Biddle's Review Sourced from Google
What a great business support option! Ken is knowledgeable and committed to providing an exceptional product with dedicated service! Highly recommend!!!
Erica Lengerich- Health Coach
Review from Google
5.0★
Erica Lengerich- Health Coach's Review Sourced from Google
I am super happy I found Pixel Buddies! Before them, my business was on the verge of closing down forever! Within the first couple days they were able to see all the areas I was struggling in and go after it. Within a month, they were able to help me catch up all the past due bills, and make $3,000 more than I would have been able to on my own. If you are a business owner struggling to get your business off the ground and not sure how to get it to grow & scale up like you want… I HIGHLY Recommend Pixel Buddies!! True life savers!
Jethrode Vistar
Review from Google
5.0★
Jethrode Vistar's Review Sourced from Google
Ken is very professional when it comes to dealing with clients and his employees! I saw his vision as a businessman as we are doing his professional portraits. I asked him about how he does things and later on when we are wrapping things up, I learned that he is a very kind and generous man and his goal is to address the problems of the other business owners and empowering his staff by giving great job opportunities!
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Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...
Location
Kansas City, Missouri
Number of Employees
50 - 99
Average Hourly Rate
$5/hr
Minimal Budget
$1,000 - $10,000
Tasks Expert Services
Customer Support
BPO
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Piedmont Hemp Co
My Safety Consultant
ImPowered Minds
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Tasks Expert Reviews & Testimonials
Katina LaFond
Review from Google
5.0★
Katina LaFond's Review Sourced from Google
Working with Myra has been such a gift. From the very beginning, she took the time to truly understand me, my vision, and the heart behind my work. She didn’t just check off tasks — she listened deeply, asked the right questions, and found my voice in a way that feels so authentic and aligned.
Her creativity, attention to detail, and dedication shine through in everything she does. Whether it’s developing content, organizing my ideas, or helping bring complex projects to life, Myra approaches each task with professionalism, thoughtfulness, and care.
What I appreciate most is her genuine investment in my success. She consistently goes above and beyond to make sure things not only get done, but get done beautifully. She’s patient when I get behind, quick to adapt when priorities shift, and always brings fresh ideas to the table.
Myra has become more than just a VA — she’s a trusted partner who understands the bigger picture and helps me move toward it with confidence. I feel incredibly lucky to have her on my team, and I can’t wait to see all we accomplish together.
Dan Charles
Review from Google
5.0★
Dan Charles's Review Sourced from Google
Having worked with Task Experts for a few months now, I've been really impressed with their proactive nature, communication and attitude towards doing the work right first time. They really go above and beyond to ensure that things are done in a timely manner and to a very high standard. After hiring my first VA (Max) with them to help with financial work, I now have a second VA who is doing technical work for us as well and they've both being very responsive and willing to help lighten the load for our business. I can't recommend them enough
Awobodede Jesutofunmi
Review from Google
5.0★
Awobodede Jesutofunmi's Review Sourced from Google
I recently had the pleasure of working with a fantastic virtual assistant company that truly exceeded my expectations. Their team was professional, responsive, and incredibly efficient in handling all the tasks I threw their way. From managing my schedule to tackling research projects, they delivered top-notch support with a friendly attitude. The seamless communication and attention to detail made my life so much easier—I can’t recommend them highly enough! If you’re looking for reliable, high-quality virtual assistance, this company is a game-changer.
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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:
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.
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.
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.
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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