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
18 Companies-Rankings updated: September 04, 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.
Work with the agency backed by 10+ Years, 100+ 5-Star Reviews & 50+ Marketing Experts
Over 10 years of experience. 50+ experts, 100+ 5-star Google reviews. Brands like Volvo and KPMG trust us to grow across borders with multilingual marketing that works. We can help your business do the same. Ready to scale? Let's talk...
Top Services:
Digital Services
PPC
SEO
Branding
Digital Marketing
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Location
New York City, New York
Number of Employees
50 - 99
Average Hourly Rate
$130/hr
Portfolios Count
8 Projects Listed
SaphirSolution Services
Digital Services
PPC
SEO
Branding
Digital Marketing
Social Media Marketing
Web Design
HR Outsourcing
Affiliate Marketing
eCommerce Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Volvo
Peugeot
Citroën
Planet Sports
BDRowa
Henrich
Solvin
Synology
Polestar
REWE
Data sourced from the agency's DesignRush profile
SaphirSolution Reviews & Testimonials
Elke Dohmann
Marketing at DORTEX mbH
4.8★
Google Ads Review from Elke Dohmann
Highly professional SEA support
We highly recommend SaphirSolution for their dedicated and result-oriented SEA management. Special thanks to Lisa, who quickly developed a deep understanding of our market and goals. The agreed targets were met, while ad spend was optimized significantly. Communication and reporting are consistently clear and reliable. Great collaboration!
Horia Savu
CEO at Alsafix
5.0★
Social Media Marketing Review from Horia Savu
We've been working with SaphirSolution for over a year and the results are good.
They are super prompt and did more than I asked them to, they even helped me with solving technical problems on our website.
We have a perfect relationship with both Cristina and Antonia
Moussa Bdeir
CEO at RhineRender GmbH
4.8★
SEO Review from Moussa Bdeir
Excellent SEO agency. Helping us in all their needs. The ROI is increasing drastically. We are looking forward to increase our budgets.
Reviews verified by DesignRush and sourced from the agency's profile
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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
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GlobiFYE delivers AI-fueled, frugal staffing local and global, from tech to finance, ops to project leads. Slash costs forty to sixty percent with smart methodologies: volume hiring scales teams fast via AI screening; staff augmentation plugs pros seamlessly; retained search bags elites. Contingent options...
Top Services:
HR Outsourcing
Business Consulting
Location
Atlanta, Georgia
Number of Employees
Under 49
Average Hourly Rate
$60/hr
Minimal Budget
$1,000 - $10,000
GlobiFYE Services
HR Outsourcing
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
PRISM HR Consulting, LLC is an international consulting firm specializing in human resources. Founded in 2003 by Mary Beth Hartleb; PRISM supports organizations with or without existing human resources staff...
Top Services:
HR Outsourcing
Location
Henderson, Nevada
Number of Employees
Under 49
Prism HR Consulting, LLC Services
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
At Upscale Staffing, we bridge the gap between exceptional healthcare professionals and the facilities that need them most.
Connecting exceptional professionals with organizations that value excellence. Your trusted partner in building high-performing teams across healthcare and beyond...
Top Services:
HR Outsourcing
Location
Greenbelt, Maryland
Number of Employees
Under 49
Upscale Staffing Services
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Wellness & Fitness Industry
Dental Industry
Data sourced from the agency's DesignRush profile
Upscale Staffing Reviews & Testimonials
Jerrell Ray
Review from Google
1.0★
Jerrell Ray's Review Sourced from Google
Be aware of these positive reviews. Most are relatives or friends of staff of the agency. I can say that my onboarding was quick, I submitted documentation and was able to working within two days! My first red flag was that I was in an assignment but the company had never gotten any pay or direct deposit info from me. They do have assignments but they are unorganized, several recruiters will reach out even after having confirmed shifts, there are sometimes discrepancies with pay.
Melanie Attson
Review from Google
1.0★
Melanie Attson's Review Sourced from Google
I’m sorry to be one Of rotten apples, but I had the privilege of working with Adler a recruiter. I’ve been trying to get onto a job for over three months, Which is the longest I’ve ever tried to jump onto a traveling job. There’s no communication from him in the last three weeks. And I’m still waiting for placement, I wish I had a better experience with this company. I’ve been a travel CNA for the last nine years and this is the first travel company. I’m really having a hard time with hopefully after this review things change.
Ab Adebayo
Review from Google
5.0★
Ab Adebayo's Review Sourced from Google
I had the pleasure of working with Upscale Management Services, and my experience was nothing short of exceptional. From start to finish, their team demonstrated a high level of professionalism, expertise, and dedication. They consistently went above and beyond to ensure all my needs were met and provided insightful recommendations that truly made a difference.
Reviews verified by DesignRush and sourced from the agency's profile
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Helping Companies Establish & Expand Their Digital Footprint
We help clients tackle a variety of business problems, from web design, marketing strategy + execution, to content creation...
Top Services:
Web Design
eCommerce Development
Digital Marketing
SEO
Translation Services
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Location
Huntingdon, Pennsylvania
Number of Employees
Under 49
Average Hourly Rate
$165/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
3 Projects Listed
WD Strategies Services
Web Design
eCommerce Development
Digital Marketing
SEO
Translation Services
HR Outsourcing
Branding
Mobile App Development
Software Development
Digital Strategy
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Huntingdon County Business & Industry
ELANA Financial & Settlement Architects
Join the Zone
Startup Toolkit
You Do Matter
NAACP New Orleans
Data sourced from the agency's DesignRush profile
WD Strategies Reviews & Testimonials
J Gujral
Review from Google
5.0★
J Gujral's Review Sourced from Google
Smooth as butter, we took their services for building our firm website and they made it very easy and quick to code and develop it. Amazing service, highly recommend!
sherry wang
Review from Google
5.0★
sherry wang's Review Sourced from Google
The design of the website is very professional, and the follow-up service after the website is put into operation is very timely. Whenever I propose some modification plans, there will be timely feedback. It is a very trustworthy team.
Joseph DiGangi
Review from Google
5.0★
Joseph DiGangi's Review Sourced from Google
With a business as diverse as ours, we count on WD Strategies for our marketing outreach, client engagement, website management, and seamless integrations. Their strategic leadership and talented team have been crucial in strengthening our online presence and ensuring our objectives are met on schedule.
~ELANA Financial
Reviews verified by DesignRush and sourced from the agency's profile
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Welcome to HealthRescue Partners. We specialize in empowering healthcare startups and small practices to thrive amidst the complexities of the modern medical industry. Understanding the critical issues new healthcare businesses face, such as regulatory compliance, patient acquisition, financial management...
Top Services:
HR Outsourcing
Social Media Marketing
Digital Marketing
Web Design
Show more
Location
Albuquerque, New Mexico
Number of Employees
100 - 249
Average Hourly Rate
$8/hr
HealthRescue Partners Services
HR Outsourcing
Social Media Marketing
Digital Marketing
Web Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
The Cigna Group
MetLife
Humana
AARP
UnitedHealthcare Inc
Data sourced from the agency's DesignRush profile
HealthRescue Partners Reviews & Testimonials
Marthe Ngemhe
Review from Google
5.0★
Marthe Ngemhe's Review Sourced from Google
I have been working with HealthRescue Partners for the past few months & it has been a great experience working with their amazing team from Moiz, Ubayd, Ahmed, & others. Their team is knowledgeable, responsible, humble, & listen to their clients' idea during the process. They did my website, and I really fell in love with their wonderful job. They work with you, handle all the paperwork while you focus on your patients' care, and make sure that you are all set to start your journey as a CEO with confidence.
I will definitely recommend HealthRescue Partners to any healthcare business partner looking for reliable healthcare practice management & website designer.
Mah
Review from Google
5.0★
Mah's Review Sourced from Google
Are you into healthcare, are you searching for the best website designs for inspiration to create or redesign your site? Whether you are a web developer or a business owner, building an amazing website doesn’t have to cost a fortune.
You can use Health rescue partners, they are the best. They redesigned my website, created blogs, linked my website to all my social media plat forms and more. They have done for me more than what i paid them. They are the best.
Reviews verified by DesignRush and sourced from the agency's profile
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Hire globally, stress-free, with a reliable Virtual Assistant for just $10/hour no contracts, no setup fees, no hassle. Pixel Buddys dedicated Virtual Buddies take care of time-consuming tasks so you can focus on growing your business and enjoying life.
Trust your buddy to have your back!...
Top Services:
HR Outsourcing
BPO
Location
Pueblo, Colorado
Number of Employees
50 - 99
Average Hourly Rate
$8/hr
Minimal Budget
$1,000 - $10,000
PixelBuddy Solutions Services
HR Outsourcing
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Aviate
Massage and Wellness
Paramount Attorney
Data sourced from the agency's DesignRush profile
PixelBuddy Solutions Reviews & Testimonials
Jeff M Biddle
Review from Google
5.0★
Jeff M Biddle's Review Sourced from Google
What a great business support option! Ken is knowledgeable and committed to providing an exceptional product with dedicated service! Highly recommend!!!
Erica Lengerich- Health Coach
Review from Google
5.0★
Erica Lengerich- Health Coach's Review Sourced from Google
I am super happy I found Pixel Buddies! Before them, my business was on the verge of closing down forever! Within the first couple days they were able to see all the areas I was struggling in and go after it. Within a month, they were able to help me catch up all the past due bills, and make $3,000 more than I would have been able to on my own. If you are a business owner struggling to get your business off the ground and not sure how to get it to grow & scale up like you want… I HIGHLY Recommend Pixel Buddies!! True life savers!
Jethrode Vistar
Review from Google
5.0★
Jethrode Vistar's Review Sourced from Google
Ken is very professional when it comes to dealing with clients and his employees! I saw his vision as a businessman as we are doing his professional portraits. I asked him about how he does things and later on when we are wrapping things up, I learned that he is a very kind and generous man and his goal is to address the problems of the other business owners and empowering his staff by giving great job opportunities!
Reviews verified by DesignRush and sourced from the agency's profile
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HR Advantage Consultants is a people-centered HR consulting firm that helps businesses build stronger teams, improve workplace practices, and navigate HR challenges with confidence. We provide customized support in recruiting, employee relations, compliance, performance management, training, leadership...
Top Services:
HR Outsourcing
Accounting
Location
Palm Desert, California
Number of Employees
Under 49
Average Hourly Rate
$250/hr
Minimal Budget
$1,000 - $10,000
HR Advantage, LLC. Services
HR Outsourcing
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
"Your Trusted Service Partner, Across the Nation."
ASK 2 PRO delivers expert virtual assistant services nationwide, helping businesses streamline tasks, boost efficiency, and expand their network. From admin to communication, we handle the details so you can focus on growth and success...
Top Services:
Web Development
Digital Marketing
AI Development
HR Outsourcing
Customer Support
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Location
New York City, New York
Number of Employees
50 - 99
Average Hourly Rate
$7/hr
ASK 2 PRO Services
Web Development
Digital Marketing
AI Development
HR Outsourcing
Customer Support
Phone Answering Services
IT Services
Market Research
Branding
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Theres Nothing More Powerful Than a United Group of Souls Ignited in a Common Cause.
Matter Consulting is the home of Steven Morris’ brand, culture, and business advisory work. Steven has been a trusted advisor to more than 3,000 business leaders at more than 250 global, national, and regional brands since 1994...
Top Services:
Branding
Reputation Management
Business Consulting
Market Research
Digital Strategy
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Location
San Diego, California
Number of Employees
Under 49
Average Hourly Rate
$200/hr
Minimal Budget
$10,000 - $25,000
Matter Consulting Services
Branding
Reputation Management
Business Consulting
Market Research
Digital Strategy
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Howdy helps US top tech companies hire and retain software developers in LATAM.
Howdy helps U.S. companies scale their engineering teams by hiring, retaining, and supporting the top 1% of tech talent in Latin America. With a white-glove, fully managed approach, Howdy delivers vetted engineers, in-country infrastructure, and a 98% retention ratefaster and more affordably than traditional...
Top Services:
Staff Augmentation
HR Outsourcing
Location
Austin, Texas
Number of Employees
100 - 249
Howdy.com Services
Staff Augmentation
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Hypeify helps startups and high-growth companies scale marketing teams affordably by sourcing top-tier marketing talent from Latin America. We connect you with vetted marketing specialists in social media, paid ads, email, content, design, video, web, and analytics. With flexible plans, full onboarding...
Top Services:
BPO
HR Outsourcing
Location
Palm Springs, Florida
Number of Employees
Under 49
Average Hourly Rate
$15/hr
Minimal Budget
$1,000 - $10,000
Hypeify Services
BPO
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
Accounting
HR Outsourcing
BPO
Location
Syracuse, New York
Number of Employees
100 - 249
Average Hourly Rate
$1/hr
Hiline Services
Accounting
HR Outsourcing
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Ritual
Vetted
Flow Kana
Data sourced from the agency's DesignRush profile
Hiline Reviews & Testimonials
Ryan McCarthy
Review from Google
5.0★
Ryan McCarthy's Review Sourced from Google
Have been using Hiline for the past 5+ years and they have been great. They manage all of my accounting, bookkeeping, and even HR services.
Tom Cooney
Review from Google
5.0★
Tom Cooney's Review Sourced from Google
Been using G&C since first day of business and have watched their team grow with ours! They are very knowledgeable, resourceful and quick to respond to our needs. The modern boutique fits perfectly with our operations!
Andy Orr
Review from Google
5.0★
Andy Orr's Review Sourced from Google
The Gardner & Capparelli are an incredible source of value, strategy, and support for our creative business. Our first year working with their tax team helped our internal accounting group identify previously unknown tax credits, as well as helping us better prepare for scaling our operations for years to come. I can't thank Matt, Jim, and their entire team enough!
Reviews verified by DesignRush and sourced from the agency's profile
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Xynario, a certified HubSpot partner, specializes in solving your lead generation and sales challenges. We provide high-quality leads, optimize sales funnels, and offer expert staffing solutions to help you achieve predictable revenue growth. Let us drive your success!...
Top Services:
CRM Consulting
Email Marketing
Digital Marketing
HR Outsourcing
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Location
Santa Clara, California
Number of Employees
50 - 99
Average Hourly Rate
$75/hr
Xynario Ltd Services
CRM Consulting
Email Marketing
Digital Marketing
HR Outsourcing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Kraussel Applications is a business solutions agency for small and medium sized businesses. We offer marketing and human resources services to help clients enhance their online presence and enhance their company culture. Two services that are the life blood to a strong operating business...
Top Services:
Web Design
Web Development
SEO
Social Media Marketing
HR Outsourcing
Show more
Location
New Berlin, Wisconsin
Number of Employees
Under 49
Average Hourly Rate
$55/hr
Minimal Budget
$1,000 - $10,000
Kraussel Applications Services
Web Design
Web Development
SEO
Social Media Marketing
HR Outsourcing
eCommerce Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
CoderzHub is a digital agency that offers services ranging from website development, mobile app development, custom software developement and digital marketing...
Top Services:
Mobile App Development
Web Development
eCommerce Development
Software Development
WordPress Website Design
Show more
Location
Plano, Texas
Number of Employees
Under 49
Average Hourly Rate
$25/hr
Minimal Budget
$1,000 - $10,000
CoderzHub Services
Mobile App Development
Web Development
eCommerce Development
Software Development
WordPress Website Design
Web Design
UI/UX Design
Customer Support
HR Outsourcing
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Experts in full-cycle US medical claims management from charge capture, eligibility checks, and prior approvals to denial handling, payment posting, and AR recovery. Compliant with HIPAA, ICD-10, CPT, HCPCS. Support all payers: commercial, Medicare, Medicaid, TriCare, VA, Workers Comp...
Top Services:
BPO
Business Consulting
CRO
ERP Consulting
ECM Consulting
Show more
Location
Albany, New York
Number of Employees
Under 49
Average Hourly Rate
$35/hr
ProRCM LLC Services
BPO
Business Consulting
CRO
ERP Consulting
ECM Consulting
Big Data Analytics
Managed Services
CRM Consulting
HR Outsourcing
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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%
Proposals