Our directory of top call center companies in USA is based on five criteria, reviewed by 12 experts, and supported by over 300 verified reviews, all to help you choose a reliable partner and grow your business with the right support.
MiXBS is a call center company serving U.S. businesses with inbound and outbound call center outsourcing, B2B contact center services, ecommerce and insurance support, and customer development, handling up to 16,000 daily interactions across logistics, healthcare, retail, and wellness industries...
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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.
Call center firm SwiftCare Billing makes it easy to elevate healthcare operations and streamline claims, coding, and denials management for providers of all sizes. Superior solutions are born from our profound experience in medical billing and revenue cycle optimization...
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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.
Revele is a leading provider of healthcare revenue cycle and electronic health record services...
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Virtual Connect LLC was formed with the intention of supporting medical professionals and practices in achieving greater financial success. For us, it's all about the statistics. We are enthusiastic about redefining the industry and producing unparalleled results that surpass industry standards. Utilizing...
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Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
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Melina Montes's Review Sourced from Google
Equivity has been a great addition to our business. Their proactive approach, commitment, and attention to detail have played a great role in the success of our operations. Equivity truly went the extra mile to understand our operation and assemble an exceptional support team! Their representatives demonstrate a high level of professionalism and consistently provide excellent customer service. Equivity is the perfect choice if you're seeking top-tier service tailored to meet your business needs.
Excellence Team's Review Sourced from Google
Equivity is a game-changer. Their team is highly knowledgeable and skilled in customizing their services to match our specific needs, which is super impressive. They frequently ask for our feedback and are quick to adapt to our requirements. Highly recommended!
Amanda Estey's Review Sourced from Google
I've always been able to get quality help in a timely manner when using Equivity Virtual Marketing Assistants. Highly recommend them for both short and long term solutions. The team is wonderful to work with and will source the right talent for your needs.
Hire Live Support is a U.S.-based call center company offering phone support, live chat, email support, virtual assistants, and AI-driven BPO services starting at $399/month, alongside back-office, digital marketing, and web development services for startups, SMEs, and enterprises with 10+ years of...
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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'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.
AnswerFirst helps businesses stay connected with real, helpful people answering every call day or night. No bots. No scripts. Just trained Customer Service Professionals who know how to support your customers when it matters most...
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Johnson Legal PLLC's Review Sourced from Google
As a small law office, we used AnswerFirst for about a year. We opted not to have calls recorded as their system has an irritating "beep" that sounds in the background while customers are on the phone. We thought things were going well. Several months later we signed up for CallRail, which recorded all incoming calls. We began to see a pattern of poorly handled calls. When we shared this information with management, and offered to provide the recording, they said "no thanks." The probems continued. For instance one caller asked if we did simple Wills. The AnswerFirst agent said, "No, we only do Estate Planning." After sharing these simple issues with management nothing changed. We asked if they could give us an adjustment to our bill based on the poorly handled responses. They said "No." We notified them this week we were switching carriers and they acted like they could care less. DO NOT use them as they cannot handle the simplest of calls.
Demetri Karoutsos's Review Sourced from Google
Outstanding After-Hours Answering Service – Highly Recommend for Service-Based BusinessesWe've transitioned to AnswerFirst about four months ago for our after-hours answering service needs, and they’ve exceeded every expectation. Their live agent support, combined with responsive customer service and advanced technology integration, has provided our team with a seamless and professional solution that far surpasses our previous provider.What sets AnswerFirst apart is their adaptability to our unique workflows, quick response times, and overall attention to detail. As a service business, having a reliable, U.S.-based call center is essential and AnswerFirst delivers with consistency and clarity.Their platform gives us the functionality we need, and the quality of their after-hours call handling has significantly improved both our internal efficiency and our customer experience.If you're a service-based company looking for high-quality live agents, professional support, and a partner who understands urgency and accountability, I highly recommend AnswerFirst. Exceptional value, exceptional team.Demetri KaroutsosDirector, CareMaster
Scott Lady's Review Sourced from Google
Finally, and I mean FINALLY an inbound call center who does what they say they will do, and does it excellently.Danielle and Robert have been incredible helping me with my campaigns, and ensuring everything is flowing smoothly.I highly recommend giving them a shot for your call inbound call needs.
CureMD's physician billing services are easy and stress free Our team of experts will handle all the complex details, so you can focus on providing excellent patient care...
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Lolita Prieto's Review Sourced from Google
I HAVE NEVER WORKED WITH SUCH A DETAILED AND ACCOUNTIBLE CREDETIALING CO. RON DAVIS WAS AMAZING. HE HAD PATIENCE AND GUIDED ME STEP BY STEP. HE IS NOW OUR CREDENTIALING COMPANY.
ira cantor's Review Sourced from Google
Liam and his billing team have consistently delivered outstanding service. Their dedication, accuracy, and proactive mindset set them apart. Even in the face of complex billing challenges, they respond with clarity and efficiency, ensuring every detail is handled with care. Liam’s leadership reflects a deep understanding of the process and a strong commitment to excellence, which clearly influences the entire team. Their responsiveness, collaborative approach, and problem-solving abilities make them a truly invaluable partner. It’s a pleasure to work with such a reliable and high-performing team.
Christopher Kelley's Review Sourced from Google
Liam and his billing team have been truly exceptional. Their dedication, precision, and proactive approach consistently stand out. They handle even the most complex billing scenarios with remarkable efficiency and clarity, ensuring that nothing falls through the cracks. Liam leads with professionalism and a deep understanding of the process, setting a high standard for the entire team. Their responsiveness, problem-solving mindset, and collaborative attitude have made them an indispensable part of the operation. It’s genuinely a pleasure to work with such a committed and high-performing team.
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...
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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...
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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'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'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.
OutsourceRCM helps healthcare providers streamline their revenue cycle with accurate medical billing, denial management, and patient payment solutions driving faster reimbursements and improved financial performance...
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They can help businesses manage and field phone communications.
Through a mix of inbound and outbound call answering services, these specialists strengthen customer trust, streamline the overall income of inquiries, and ultimately, improve the brand image.
Considering that over 70% of customers prefer to do business with a company that has a great reputation for quality customer service, organizations keenly employ call center specialists.
Apropos those findings, data also shows that 97% of customers are likely to tell their friends, family, or coworkers about a pleasant customer experience.
The most common contract length for call center services in the US ranges from 6 to 12 months, which allows enough time to onboard agents, familiarize them with the brand, stabilize outstanding tickets, and evaluate results.
Shorter engagements of 3 to 6 months are commonly used for seasonal support, pilot programs, or temporary coverage during peak demand.
Longer contracts lasting 12 to 36 months are common for enterprise-level programs that require dedicated teams, custom technology integrations, or compliance-heavy operations.
Contract length often depends on service complexity, expected call volume, industry regulations, and whether the provider is supporting a short-term initiative or an ongoing operation.
Choosing the right call center company in the United States requires aligning your business needs with a vendor’s capabilities across technology, service quality, and long-term performance.
Here are some things to consider when searching for a provider:
Need help finding a call center across the USA? Visit our Marketplace and send us a project brief. Based on your request, we'll send you five agency suggestions that meet the criteria.
We’ve shortlisted call center providers on DesignRush across multiple price points, so you can identify a vendor that's within your budget.
| High budget: $50,000+ |
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| Low budget: $25,000-$50,000 |
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Beyond budget, our agency directory allows you to filter agency profiles by location, area of expertise, agency reviews, client types, team size, and hourly rates.
Before hiring one of these companies in the US, you should ask some of the following questions to make sure the candidate is a good fit for the project:
Rated 4.8 on Google and 4.7 on Trustpilot, DesignRush Agency Directory is a reliable resource for finding top call center companies in the USA. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.
Learn more about DesignRush Agency Ranking Methodology.
DesignRush sustains a directory of over 40,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:
Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.
Call centers encompass specialized agencies that manage both incoming and outgoing customer phone calls, often providing customer service, technical support, or sales services. These providers use advanced technologies to route and handle calls efficiently, thus maintaining effective communication between businesses and their clients.
They typically offer services such as:
In the US, over 50% of companies outsource at least part of their customer service operations.
On the other hand, outsourced centers report agent utilization rates of approximately 85-90%, compared to 65-70% for in-house teams, which supports higher operational efficiency.
Industry pricing benchmarks show that standard inbound customer support is commonly priced between $20 and$30 per hour for US-based agents, depending on coverage hours and agent experience. Pricing for call center firms in the United States is typically based on usage, call volume, and service complexity rather than a single flat rate.
More specialized services, such as advanced technical support or compliance-driven call handling, often cost more and typically range from $30 to $50 per hour due to higher training and skill requirements.
In addition to service fees, technology costs can significantly affect total pricing.
Call center software alone can cost around $75 per agent per month, and this figure does not include staffing, call handling, or operational services.
Many providers in the United States charge setup or onboarding fees for agent training, system integration, and quality assurance work, which may not be included in the hourly quote.
Technology and software can add separate expenses, such as customer relationship management (CRM) tools, call routing systems, or analytics platforms.
Infrastructure and operational overhead, including telecommunications, hardware, and office costs, also contribute to total expenses for US-based programs.
Finally, specialized services such as after-hours support, multilingual support, or advanced reporting often come with premium charges.
Launching a call center program in the United States typically takes anywhere from a few weeks to several months.
Small or virtual call center programs in the US can often launch within a few weeks, as setup usually involves selecting software, hiring agents, and completing training without physical infrastructure.
Larger on-site or traditional call centers typically require 3 to 6 months to launch due to facility setup, telephony, and hardware installation, large-scale hiring, and compliance requirements.
In general, the team size, service complexity, technology requirements, and whether the operation is virtual or on-site are the primary factors that determine how quickly a call center program can go live in the US.
Many businesses rely on these companies to handle customer service and support, particularly when call volumes are high or 24/7 availability is required. Common industries include:
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