Our directory features the top HR outsourcing companies in the USA. Our directory, backed by five ranking criteria, 12 expert reviewers, and 140+ verified client reviews, to help you confidently identify the best HR outsourcing services for your needs.
Find the Top HR Outsourcing Services in the USA
9 Companies-Rankings updated: September 06, 2026
Featured HR outsourcing services are evaluated based on proven expertise, service scope, and verified client feedback to help businesses identify dependable HR partners. Some listings may be paid.
Excellence in Recruiting Executives Nationwide Since 1967
Bristol Associates specializes in highly focused, personalized executive search in all verticals for Casino Gaming; CBD; Facility and Concession; Food and Beverage; Healthcare; Hotel and Resort; Nonprofit; Restaurant; and Travel, Tourism, and Attraction...
Top Services:
HR Outsourcing
Location
Hermosa Beach, California
Number of Employees
Under 49
Bristol Associates, Inc. Services
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Hard Rock International
Caesars Entertainment
Cedar Fair Entertainment Company
Golden Malted
Jo's Candies
Dave & Buster's
Jeneil Biotech, Inc.
The Colburn School
Hawaii Pacific Health
Los Angeles Jewish Home
Data sourced from the agency's DesignRush profile
Bristol Associates, Inc. Reviews & Testimonials
Andy Green Sr. Vice President of Human Resources at Parx Casino
5.0★
HR Outsourcing Review from Andy Green
For over a decade, Bristol Associates has successfully found us key executives ranging from COO to VPs, Directors and Managers. Not only do they understand the recruitment business, but they have made a point of understanding and learning about our company – critical when considering senior level recruitment.
Kevin Lynch Board Chair at Dubuque Racing Association
5.0★
HR Outsourcing Review from Kevin Lynch
Bristol Associates was recommended to us by a friend and colleague at the casino we oversee. We reached out to a couple other firms, but Bristol was by far the most responsive and professional company we spoke with. From the first contact, they were always available to us whenever needed. They sent us resumes from many qualified candidates and then helped us through each step to evaluate those choices and finally arrive at the best person to fit our needs. They made the process go so much smoother than it could have. We had to rely on their experience and knowledge several times for even small things that we were not equipped for. They were always willing to help. Whether you are experienced at hiring gaming professionals or it’s your first time like it was for us, they are the search firm to work with. I would recommend Bristol Associates and Ben Farber to anyone!
Merrick Dresnin Company Director of Human Resources at Cote Family Destinations
5.0★
HR Outsourcing Review from Merrick Dresnin
Bristol Associates has a great national reputation and our personnel has had previous experience working with them in both Casino Gaming and Hospitality capacities. The team displayed professionalism and support for onboarding candidates, providing negotiation assistance, and fulfilling timely placements. We appreciate Bristol being open-minded to operational needs as we’ve worked to reconfigure and rework our company.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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...
Top Services:
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
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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 View All Reviews
Fastest and Reliable Recruitment Agency in Nigeria, and Georgia (USA)
Avant Tech is an Innovation driven company operating in the US, Nigeria and the Philippines, We specialize in the recruitment of international across countries and carry our Business Process Outsourcing Services...
Top Services:
BPO
IT Services
HR Outsourcing
Managed Services
Mobile App Development
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Location
Peachtree City, Georgia
Number of Employees
50 - 99
Average Hourly Rate
$200/hr
Minimal Budget
Under $1,000
Avant Tech Services
BPO
IT Services
HR Outsourcing
Managed Services
Mobile App Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
IBM
Zoho Corporation
Datalogic
Ascendum
Freddie Mac
Data sourced from the agency's DesignRush profile
Avant Tech Reviews & Testimonials
Kingsley C. Maduagwu Head of Marketing at Jindu Store
5.0★
IT Staffing Review from Kingsley C. Maduagwu
Avant Tech Nigeria, helped our company recruit 20 digital marketing specialists to aid business growth
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Artech is the largest Women & Minority owned IT staffing firm in the US, with US$ 800 million annual revenue run rate in 2021 and a footprint across the globe. With nearly three decades of experience, Artech empowers businesses through applied human intelligence and offers a spectrum of services...
Top Services:
HR Outsourcing
Staff Augmentation
Location
Morristown, New Jersey
Number of Employees
1000 & Up
Artech L.L.C. Services
HR Outsourcing
Staff Augmentation
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mastech Digital
Flipkart
Net2Source Inc.
Data sourced from the agency's DesignRush profile
Artech L.L.C. Reviews & Testimonials
Beth Holzer Review from Google
5.0★
Beth Holzer's Review Sourced from Google
I've absolutely enjoyed working for Artech! They've endeavored to understand my skills, make the appropriate placement for me, and provide me with fulfilling and challenging assignments.
Daniel Valcarcel Review from Google
5.0★
Daniel Valcarcel's Review Sourced from Google
I had a great experience working with Artech. The onboarding process was smooth and straightforward, and the entire team was highly professional from start to finish. A special thanks to Garvita for her warm, attentive, and professional support throughout—I truly appreciated her help.
Laura Barron Review from Google
5.0★
Laura Barron's Review Sourced from Google
Working for Artech, being assigned to Intel, was a great experience. They made it easy to get up to speed and address every day needs. The Artech team, including Vardaan Saluja, were very helpful and always available. They are top-notch and I would take an assignment from them again.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
At the forefront of Talent Solutions, AccruePartners is your source for today’s top talent. Our proven proprietary business systems combined with an unwavering commitment elevates our company to the forefront of the recruiting industry. With predictable precision, we deliver top-tier talent solutions across...
Top Services:
HR Outsourcing
Location
Charlotte, North Carolina
Number of Employees
250 - 499
AccruePartners Services
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Retail Industry
Business Sector
Food Industry
Data sourced from the agency's DesignRush profile
AccruePartners Reviews & Testimonials
Patrick Chehade Review from Google
5.0★
Patrick Chehade's Review Sourced from Google
In my limited interaction with Kristy, I found her to be very professional and approachable. She took the time to understand my background and career aspirations, and answered all my questions thoroughly to ensure the position was a good fit.Thanks to Kristy's efforts, I am one step closer to an exciting new opportunity. I highly recommend her expertise to anyone seeking a recruiter who genuinely cares about their candidates' success!
K C Review from Google
5.0★
K C's Review Sourced from Google
I did not need to check on Lucie's profile. I think highly of Accrue Partners and the team. They have always shared the best job leads with me and I have worked different assignments with Accrue over the past 11 years. Every time I get a new assignment I feel confident about the jobs I accept. I have had successes with Accrue and know they are the most trustworthy employment agency in Charlotte.Thank you for the opportunity to express how much I appreciate Accrue Partners and Lucie!
Constance Ray Review from Google
5.0★
Constance Ray's Review Sourced from Google
Lucy contacted me shortly after applying for a position and was very pleasant and professional. She told me about the position, and where it is located and was I still interested. She sent my resume, asked when i could interview, sent out the invites. Lucy got on the call long enough to make sure we got connected and logged off. Then call after to see how the interview went. Confirmed and asked different questions and if I was still interested. I loved her follow through and would definitely refer her to others"
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Top Services:
Customer Support
BPO
Market Research
Transcription Services
Translation Services
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Location
New York City, New York
Number of Employees
250 - 499
Average Hourly Rate
$24/hr
SmartPA Services
Customer Support
BPO
Market Research
Transcription Services
Translation Services
HR Outsourcing
Call Centers
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Cox-London
Complete Refinish
Collette CWMedia
Krispy Kreme
Total Oil and Gas
Data sourced from the agency's DesignRush profile
SmartPA Reviews & Testimonials
Vicky Grobbelaar Review from Google
5.0★
Vicky Grobbelaar's Review Sourced from Google
Mandy has been a huge asset to Ethiqs and a lovely person to work with, efficient and friendly and a great team backing her. Highly recommended.
Pedro Mendoza Review from Google
5.0★
Pedro Mendoza's Review Sourced from Google
Holly has been a great help recently both in terms of my business and personal affairs. I am in the process of making some business structure changes in my private dental practice and she has assisted me with all the lengthy paperwork, ensuring that everything is in order. In addition, she has assisted me in researching properties and locations. I would not hesitate in recommending her services as her support has been invaluable to me at this extremely busy time and has allowed me to focus on my patients.Highly recommended +++++
Alexandra Stewart Review from Google
5.0★
Alexandra Stewart's Review Sourced from Google
Terri has been an incredible SmartPA assistant for our family over the past 18 months. Her support has been invaluable in managing our busy work and home administrative tasks. Throughout our travels across Europe, the US, and Canada, as well as during our recent move to a new house and country, Terri has been there for us every step of the way. In particular, I have appreciated that Terri has used great judgment in assessing options on all fronts and hasn't just gone for the easy road of blindly following orders. I have trusted her as a "second me" and that has been so helpful. We couldn't have done any of this without her!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
EY offers Accounting, Business Consulting, and IT Services with a mission to build a better working world. It provides insights and quality services that instill trust in global capital markets and economies. EY focuses on developing exceptional leaders who deliver on their commitments to all stakeholders...
Top Services:
Business Consulting
HR Outsourcing
Accounting
Cybersecurity
IT Services
Show more
Location
Sacramento, California
Number of Employees
1000 & Up
EY Services
Business Consulting
HR Outsourcing
Accounting
Cybersecurity
IT Services
AI Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Become an IT Expert with INE's Proven Training Approach
INE is a premier provider of technical IT training, offering a comprehensive range of courses in advanced networking technologies, next-generation security, and infrastructure programming. With a focus on adaptive technologies and hands-on experiences, INE has empowered tens of thousands of IT professionals...
Top Services:
HR Outsourcing
Location
Cary, North Carolina
Number of Employees
500 - 999
INE Services
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
U.S. Force
Cigna
PayPal
Data sourced from the agency's DesignRush profile
INE Reviews & Testimonials
Eugen Rieker Review from Google
1.0★
Eugen Rieker's Review Sourced from Google
They send me spam emails with course offers. I have never had anything to do with this company before. This company got my email address from an illegal data source.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Frequently Asked Questions About HR Outsourcing Services
What services do most of these companies typically offer?
They typically provide a comprehensive menu of services covering the full employee lifecycle.
According to industry research, these are the most frequently outsourced HR services:
Payroll outsourcing (70%): Processing employee salaries and ensuring that they comply with contract agreements, labor laws, and tax regulations.
Recruitment process outsourcing (RPO) (28%): Sourcing, screening, interviewing, and onboarding talent required by an organization.
Multi-process HRO (26%): Delegating multiple HR operations to a single third-party provider, such as payroll processing, onboarding and training, and compliance.
Benefits administration (18%): Managing an organization’s benefits programs for employees, such as health insurance, paid time off, and retirement plans.
Learning services (14%): Overseeing an organization’s training and development programs, helping employees upskill or reskill.
Beyond these core offerings, these companies also cover performance management, time and attendance tracking, and compliance management.
How much does HR outsourcing cost?
HR outsourcing costs start at $50-$200 per employee per month and can go beyond $1,500 per employee per month. The final rate will depend on the type of HR sourcing service, engagement model, company size and structure, industry, and compliance requirements.
Here’s a pricing breakdown per service type:
Payroll processing: Base fee of $150-$350 per month for a company with under 20 employees
Compliance management: $500-$5,000 per month, depending on scope and requirements
Employer record services (EOR): $200-$1,500 per month per employee
Training and development: $50-$300 per employee per module, and can be exclusive of trainer compensation, event space, and training materials.
Recruitment and talent acquisition: 15%-30% of the talent’s first-year salary or $5,000-$20,000+ per month, with more premium rates for more specialized or niche expertise
What is the difference between HR outsourcing and a PEO?
While both HR outsourcing companies and PEOs (professional employer organizations) help organizations hire and manage their employees, they have different functions.
Mainly, an HRO serves as an external vendor, while a PEO operates through a co-employment model. Below are more details:
HR Outsourcing
PEO
Function
Third-party vendor
Co-employer
Legal Liability
Client
Shares responsibility with the client
Services
Provides the service as needed
Controls the entire HR operations
Payroll, taxes, and filings
Provider handles the service, but the client remains the employer
Provider is the co-employer and administers the entire process
Benefits
Higher flexibility and customization
Client keeps full control
Fewer risks, as PEO shares the liability
All-in-one HR function, no need to search for different providers
What questions should I ask before hiring?
Ask these questions before hiring an HR outsourcing company:
Relevant Background
What HR functions do you cover, and what is your expertise?
Can you provide case studies or references for companies similar to our business size, industry, and complexity?
What is your compliance coverage per state and per country?
Services and Processes
Can you walk me through your end-to-end processes (e.g., onboarding, payroll cycles, offboarding)?
What HR tools and technologies do you use, and can you integrate them with my IT ecosystem?
What is your security and data governance approach, and what are your disaster recovery commitments?
Related to Your Project
What administrative effort is required from our team weekly/monthly?
Can you scale services as we grow (new states/countries, headcount, acquisitions), and what changes in pricing or support model?
What SLAs do you commit to, and who will be our day-to-day contact?
What types of businesses usually outsource their HR services?
Industry research found that 57% of companies outsource at least one HR service, proving that all types of businesses can benefit these from these types of services.
However, here are the sectors that have the highest share of HRO contracts:
Business, financial services, and insurance companies: 22%