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 × Social Networks × Under $1,000 ×Clear Filters
  • Smart Billing Partner

    Nationwide medical billing & revenue cycle management for healthcare providers billing, coding, credentialing, and HIPAA-compliant claims support...

    Top Services:

    • Digital Services
    • AEO
    • SEO
    • PPC
    • Accounting
    • Show more
    Location
    Madera, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000

    Docs Medical Billing Services

    • Digital Services
    • AEO
    • SEO
    • PPC
    • Accounting
    • Phone Answering Services
    • HR Outsourcing
    • Call Centers
    • CRM Consulting
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Your Precious Dream
    • Kimberly Riggi
    • Robertson Counselling
    Data sourced from the agency's DesignRush profile

    Docs Medical Billing Reviews & Testimonials

    • Kara Brock
      Kara Brock Review from Google
      5.0★

      Kara Brock's Review Sourced from Google

      Sam has been excellent for my podiatry practice. He responds quickly and follows through on any concerns. My reimbursement has gone up significantly since transitioning to Docs medical. They also provide credentialing services and have been very helpful

    • Hema Majeno
      Hema Majeno Review from Google
      5.0★

      Hema Majeno's Review Sourced from Google

      Docs Medical Billing has been helping my practice since I started last year. They get things done on time. They help my front and back staff to check eligibility, they help me set up.portals for insurances, and do their diligence on claims. They also help me find a web designer.I highly recommend them 👌

    • Catherine Abbaa
      Catherine Abbaa Review from Google
      5.0★

      Catherine Abbaa's Review Sourced from Google

      My experience with Peter and his team and the entire Docs Medical Billing LLC in handling my complex billing was very professional, reliable and smooth. The quality of their services far exceeded my expectations. The services was outstanding. I will continue to work with them and recommend them to anyone

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

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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%