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. 

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.

United States × Dental × Under $1,000 ×Clear Filters
  • A Virtual Assistant Agency For Growing Businesses

    The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...

    Top Services:

    • BPO
    • HR Outsourcing
    • Phone Answering Services
    • Customer Support
    • Call Centers
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000

    The Peak Hire Services

    • BPO
    • HR Outsourcing
    • Phone Answering Services
    • Customer Support
    • Call Centers
    • Market Research
    • Social Media Marketing
    • SEO
    • Web Design
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Entertainment Industry
    • Corporate Services Industry
    • Education Industry
    Data sourced from the agency's DesignRush profile
  • Recruiting & Sales Automation.

    We help you grow your business and understand the results of your marketing efforts. Wyred Insights is a marketing consultancy with a team of experienced strategists, developers, and creatives. Through our Measure, Monitor, and Manage strategy, we take pride in assisting our clients in understanding and...

    Top Services:

    • SEO
    • Web Design
    • PPC
    • Reputation Management
    • HR Outsourcing
    • Show more
    Location
    Reno, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000

    Wyred Insights, Inc Services

    • SEO
    • Web Design
    • PPC
    • Reputation Management
    • HR Outsourcing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Comfort Keepers
    • Anderson Keuscher PLLC
    • Compassion Dental
    • BlueJacket Enterprises
    Data sourced from the agency's DesignRush profile

    Wyred Insights, Inc Reviews & Testimonials

    • Ashley Reilly
      Ashley Reilly Review from Google
      5.0★

      Ashley Reilly's Review Sourced from Google

      Nikki and the rest of the Wyred Insights team are incredible. They have and are continuing to help our small business gain significant traction with our online presence. Nikki is always quick to respond to emails and any requests thrown her way. We are grateful for everything the Wyred Insights team does!

    • Wyatt Howell
      Wyatt Howell Review from Google
      5.0★

      Wyatt Howell's Review Sourced from Google

      Wyred Insights is the best in the business! I have worked with several SEO companies over the past 10 years. What sets this Wyred Insights apart from other companies is their approach. Nikki and Randy will take the time to get to know you, understand your business needs, then create a customized plan specifically for you and your team. They have developed a robust system that will manage, track, and capture every lead regardless of the quality. They provide call screening that qualifies all leads good and bad before posting them onto your custom dashboard. If you are looking for a SEO that will take your business to the next level, then look no further. Choose Wyred Insights

    • Max Snitkovsky
      Max Snitkovsky Review from Google
      5.0★

      Max Snitkovsky's Review Sourced from Google

      Wyred Insights is a remarkable product, with an incredible team behind it. As a small business owner, I don't just want pretty graphs and displays, I want to understand what is going on and achieve results. From Day 1, Randy, Nikki, and team, have been there every step of the way. Most importantly, they listen to my feedback and try to adapt to what I am looking for. I really appreciate how much they clearly value every business relationship where you are not just a client, but someone who they truly care for and listen to. Without any reservation I recommend Wyred Insights to any business owner who is looking for a great marketing team to bolster the foundation that has been created to take business to the next level!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Specialty-Focused Medical Billing That Boosts Revenue Fast and Easily

    At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...

    Top Services:

    • VR/AR
    • CRM Consulting
    • ERP Consulting
    • Business Consulting
    • Investment
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000

    Billing Care Solutions LLC Services

    • VR/AR
    • CRM Consulting
    • ERP Consulting
    • Business Consulting
    • Investment
    • HR Outsourcing
    • Accounting
    • Phone Answering Services
    • Event Marketing
    • UI/UX Design
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Linh Tran
    • Melissa Renteria
    • Donna Taylor
    • harry
    Data sourced from the agency's DesignRush profile

    Billing Care Solutions LLC Reviews & Testimonials

    • Madiha Rehman
      Madiha Rehman Review from Google
      5.0★

      Madiha Rehman's Review Sourced from Google

      BCS has transformed our revenue cycle with accurate medical billing, faster reimbursements, and outstanding support. Their expertise has significantly improved our collections, reduced claim denials, and contributed to the financial growth of our practice. I highly recommend BCS to any healthcare provider seeking reliable and results-driven medical billing services.

    • Melanie Gutierrez
      Melanie Gutierrez Review from Google
      5.0★

      Melanie Gutierrez's Review Sourced from Google

      Excellent prior authorization services! The team is knowledgeable, responsive, and handled the entire process efficiently. They kept me informed throughout and worked hard to ensure timely approvals, reducing delays and stress. Their professionalism and attention to detail made a real difference. I highly recommend their services to anyone looking for reliable and efficient prior authorization support.

    • Rachelle Gepulla
      Rachelle Gepulla Review from Google
      5.0★

      Rachelle Gepulla's Review Sourced from Google

      Great experience working with them. They were knowledgeable, responsive, and easy to communicate with. I appreciated their focus on building a strong partnership while helping improve our RCM processes, plus they have a very caring CEO. I would definitely recommend them!!!!Billing Care Solutions is the best!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
128,769+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
3

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

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 OutsourcingPEO
FunctionThird-party vendor Co-employer 
Legal LiabilityClientShares responsibility with the client
ServicesProvides the service as neededControls the entire HR operations 
Payroll, taxes, and filings Provider handles the service, but the client remains the employerProvider 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 

  1. What HR functions do you cover, and what is your expertise? 
  2. Can you provide case studies or references for companies similar to our business size, industry, and complexity? 
  3. What is your compliance coverage per state and per country? 

Services and Processes 

  1. Can you walk me through your end-to-end processes (e.g., onboarding, payroll cycles, offboarding)? 
  2. What HR tools and technologies do you use, and can you integrate them with my IT ecosystem? 
  3. What is your security and data governance approach, and what are your disaster recovery commitments? 

Related to Your Project 

  1. What administrative effort is required from our team weekly/monthly? 
  2. Can you scale services as we grow (new states/countries, headcount, acquisitions), and what changes in pricing or support model? 
  3. 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% 
  • Information technology: 20% 
  • Healthcare: 18% 
  • Retail: 15% 
  • Hospitality: 10%