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.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
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...
Top Services:
- BPO
- Location
- Corona, California
- Number of Employees
- 250 - 499
- Minimal Budget
- $25,000 - $50,000
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...
Top Services:
- BPO
- 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...
Top Services:
- BPO
- Location
- Southfield, Michigan
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Webster, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
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...
Top Services:
- BPO
- Location
- Makati, Philippines
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
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...
Top Services:
- BPO
- Location
- Brentwood, Tennessee
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
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...
Top Services:
- BPO
- Location
- Kissimmee, Florida
- Number of Employees
- 500 - 999
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...
Top Services:
- BPO
- Location
- Kotchandpur, Bangladesh
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $1,000 - $10,000
Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $70/hr
- Minimal Budget
- $50,000 & Up
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Top Services:
- BPO
- Location
- Franklin Square, New York
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Altis Solutions Inc. o/a as Nimble Assistants is a remote virtual assistance company delivering highly skilled, in-housetrained Virtual Assistants capable of supporting 100+ tasks. Our VAs are available 24/7, respond promptly, and work seamlessly with a wide range of software platforms to adapt to each...
Top Services:
- BPO
- Location
- Toronto, Canada
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
Behavioral Health RCM Services provide high-quality behavioral health billing services in California. At Behavioral Health RCM Services, we dont just manage billing we become a trusted extension of your team, committed to your financial success and operational efficiency...
Top Services:
- BPO
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
FindTalent connects businesses with verified Filipino specialists across 14 categories virtual assistants, developers, designers, bookkeepers, marketers, and more. AI-powered matching plus team-curated profiles. Direct messaging. Flat platform fee from $5/hr no agency markups, no bidding wars...
Top Services:
- BPO
- Location
- Makati, Philippines
- Number of Employees
- Under 49
- Average Hourly Rate
- $5/hr
Claim n Billing specializes in medical billing services that optimize revenue cycles and reduce administrative burdens. Our expert team ensures accurate, timely billing, allowing healthcare providers to focus more on patient care. Trust us for efficient, supportive financial management...
Top Services:
- BPO
- Location
- Irvine, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...
Top Services:
- BPO
- Location
- Clearwater, Florida
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- BPO
- Location
- Boynton Beach, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $25/hr
Wing is a managed assistant service that places dedicated, AI-trained assistants inside growing companies and healthcare practices. Wing handles recruiting, training, and oversight, so clients get coverage they direct without managing performance, replacements, or continuity themselves. Assistants work inside...
Top Services:
- BPO
- Location
- Berkeley, California
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $8/hr
VOSKPO LLC is a US-based revenue-cycle and knowledge-process company founded in 2015 and headquartered in Albuquerque, New Mexico...
Top Services:
- BPO
- Location
- Albuquerque, New Mexico
- Number of Employees
- Under 49
US-based outsourced dental billing for practices and DSOs — insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Works inside the practice’s existing PMS. Published pricing, month-to-month, no onboarding fee...
Top Services:
- BPO
- Location
- Nashville, Tennessee
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
RemoteSkills supplies ongoing remote staff for UK businesses. Support covers administration, bookkeeping preparation, legal administration and data entry, with client review and approvals...
Top Services:
- BPO
- Location
- Nelson, United Kingdom
- Number of Employees
- Under 49
Elite Bill Care provides end-to-end revenue cycle management for healthcare practices across the United States, covering eligibility verification, prior authorization, medical coding, claim submission, payment posting, denial management, AR follow-up and credentialing...
Top Services:
- BPO
- Location
- Austin, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $25/hr
Modality Revenue Solutions manages the complete revenue cycle for U.S. healthcare providers, from patient intake and eligibility through coding, claims submission, denial management, and payment, so practices can focus on patient care...
Top Services:
- BPO
- Location
- Modesto, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...
Top Services:
- Software Development
- Mobile App Development
- BPO
- Web Development
- Web Design
- Show more
- Location
- Austin, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $28/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 8 Projects Listed
We provide services in Argentina for customer support, technical assistance, collections, and solutions for contact centers for any nation in the globe and every language that may be necessary...
Top Services:
- HR Outsourcing
- BPO
- Location
- Mendoza, Argentina
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...
Top Services:
- BPO
- Business Consulting
- Branding
- Logo Design
- Show more
- Location
- Terra Alta, West Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $38/hr
- Minimal Budget
- Under $1,000
TopSource Worldwide specializes in employer of record services, offering a comprehensive range of payroll, accounting, and HR-related services to meet the diverse needs of businesses. With an award-winning reputation and the trust of over 800 clients, TopSource provides high-quality web-based services that...
Top Services:
- BPO
- Accounting
- Big Data Analytics
- Location
- London, United Kingdom
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
Wipfli is a leading accounting and business consulting firm, ranking among the top 20 in the nation. With a century of experience and a forward-thinking approach, we help clients achieve lasting results. Our team of eternal students brings cross-industry expertise and creativity to solve complex challenges...
Top Services:
- BPO
- HR Outsourcing
- Business Consulting
- Accounting
- Mobile App Development
- Show more
- Location
- Billings, Montana
- Number of Employees
- 1000 & Up
FreelanceTopic is the best SEO service provider company in Bangladesh. We are also working for our global clients. Our 50% of clients are from outside of Bangladesh. We have multiple service like; Best Web Design service, Digital Marketing , Freelance article writing...
Top Services:
- SEO
- Digital Marketing
- eCommerce Development
- WordPress Website Design
- Web Design
- Show more
- Location
- Jessore, Bangladesh
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Portfolios Count
- 2 Projects Listed
Adintelo is a software development company that facilitates the process of hiring talent and experts for each of the projects of your company...
Top Services:
- Software Development
- BPO
- AI Development
- Location
- Medellín, Colombia
- Number of Employees
- Under 49
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $25,000 - $50,000
- Portfolios Count
- 4 Projects Listed
virtualousPRO offers affordable, high-quality data entry services enabling SMEs to outsource key needs. Our end-to-end data management spans collecting, processing, integrating into CRMs cleanly formatted info ready to fuel decisions and growth. Cross-checking for accuracy, custom daily reporting, s...
Top Services:
- BPO
- Market Research
- Digital Marketing
- Email Marketing
- Transcription Services
- Show more
- Location
- Guwahati, India
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $4/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 2 Projects Listed
Instant Solution is a top BPO company in Bangladesh, offering world-class call center, data management, and business support services globally. With expertise in data processing, customer support, healthcare BPO, and e-commerce, we ensure secure, accurate, and efficient solutions. Operating in Bangladesh and...
Top Services:
- BPO
- Business Consulting
- Call Centers
- Phone Answering Services
- Customer Support
- Show more
- Location
- Dhaka, Bangladesh
- Number of Employees
- Under 49
- Average Hourly Rate
- $8/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
ALLSTARSIT is an international outstaffing service provider that helps businesses recruit, pay, insure, and support top global talent with payroll, benefits, and more...
Top Services:
- HR Outsourcing
- BPO
- Customer Support
- Staff Augmentation
- Managed Services
- Show more
- Location
- San Francisco, California
- Number of Employees
- 1000 & Up
With a legacy dating back to 2016, HiredSupport stands as a true trailblazer in the outsourced customer support realm...
Top Services:
- Customer Support
- BPO
- Call Centers
- Phone Answering Services
- Show more
- Location
- Rancho Cucamonga, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Our mission? To ensure that every client has clear and legible books and records, financial foresight, and the ability to make sound business decisions based on our work product and guidance...
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Prosper, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $60/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Riseup Labs is a global AI-first technology company delivering software, BPO, and CX solutions that help enterprises innovate faster, scale smarter, and grow sustainably. From Bangladesh to the world, we design and build reliable solutions and agentic workflows that drive real outcomes...
Top Services:
- Mobile App Development
- Web Development
- eCommerce Development
- Software Development
- Staff Augmentation
- Show more
- Location
- Dhaka, Bangladesh
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 6 Projects Listed
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...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Location
- Schaumburg, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
Transform Targets helps organizations scale operational capacity without increasing internal overhead. We provide skilled professionals who integrate directly into existing workflows, enabling businesses to operate efficiently while maintaining full visibility and control. Our focus is simple: support the...
Top Services:
- BPO
- Customer Support
- Logistics
- Call Centers
- Business Consulting
- Show more
- Location
- McKinney, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
We offer 24-7 Inbound Contact Center Services that include Phone, Email, Live Chat, Text and Social Media Support Services. We also help with back-office support work including order processing, data entry and related VA tasks...
Top Services:
- Customer Support
- Call Centers
- Phone Answering Services
- BPO
- Show more
- Location
- Rehoboth Beach, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
BizInfor is a notable B2B data-driven marketing solution provider. Our state-of-the-art technology helps businesses of all sizes identify the right prospects...
Top Services:
- BPO
- Email Marketing
- Location
- Edison, New Jersey
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
We are a Virtual Receptionist Company that assists in providing call answering and back-end office support to all SMBs Worldwide...
Top Services:
- BPO
- Call Centers
- Location
- Toronto, Canada
- Number of Employees
- 50 - 99
- Minimal Budget
- $1,000 - $10,000
Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services include insurance verification, medical coding, claims processing, denial management, and A/R follow-up...
Top Services:
- BPO
- Digital Marketing
- Location
- Fresno, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
Especially now, in the midst of an IT skills shortage in Australia, Alpha Creative Solutions helps small and medium-sized enterprises (SMEs) grow through technology as effectively and efficiently as feasible. Outsourcing, also known as business process outsourcing (BPO), is one of the means by which a...
Top Services:
- BPO
- Mobile App Development
- Location
- Melbourne, Australia
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 1 Project Listed
NAPA Global is a premier provider of software development and IT services, established in Da Nang city (Vietnam). Sharing the same passion for technologies, we are devoted to building quality products and solutions trusted by our partners and clients worldwide...
Top Services:
- Mobile App Development
- Blockchain
- Software Development
- IT Services
- Web Design
- Show more
- Location
- Da Nang, Vietnam
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 8 Projects Listed
Growth Cab helps B2B tech companies that sell $50K+ contracts build a predictable pipeline. We start from the accounts a client wants to win, sharpen the positioning, then put trained sales professionals in front of decision makers on LinkedIn and email. Since 2022 we have worked with 400+ B2B clients in the...
Top Services:
- Business Consulting
- BPO
- Digital Marketing
- Social Media Marketing
- Email Marketing
- Show more
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
Etech is an omnichannel customer engagement solutions provider for some of the world’s leading and most respected brands. The experience Etech has gained across a wide range of business verticals allows us to continuously deliver exceptional, personal customer experiences...
Top Services:
- BPO
- Call Centers
- Customer Support
- Business Consulting
- Show more
- Location
- Nacogdoches, Texas
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
LimTC builds dedicated customer support, customer success, and operations teams for growing businesses. Based in Ukraine since 2017, we source every team member for your specific role against a profile you approve, never a shared agent pool, and you sign off on each hire yourself. A dedicated senior project...
Top Services:
- BPO
- HR Outsourcing
- Call Centers
- Customer Support
- Show more
- Location
- Kyiv, Ukraine
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
ROI CX Solutions offers Total Contact Management and Business Support Services. We leverage our expertise to deliver a total package of customer care solutions and contact center services! We provide dedicated 24X7-365 outsourcing solutions. ROI CX Solutions is driven by results, whether it is maximizing your...
Top Services:
- Call Centers
- BPO
- Customer Support
- Phone Answering Services
- Show more
- Location
- American Fork, Utah
- Number of Employees
- 1000 & Up
- Portfolios Count
- 3 Projects Listed
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
The firm offers tax, accounting and consulting services. We handle the back-office and bookkeeping functions of many private companies in South Florida. We are also happy to report that our lists continue to grow...
Top Services:
- Business Consulting
- BPO
- Accounting
- Location
- Fort Lauderdale, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 1 Project Listed
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
4.8
4.8Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
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:
- 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.
Latest Trends Related to BPO
-preview-webp.webp)
