Our US customer support outsourcing companies directory features a selection of top providers, reviewed by 12 experts. Boasting a 4.6-star average rating from 223 verified reviews, our listicle contains providers operating nationwide, with teams that know how to improve customer satisfaction and strengthen brand loyalty.
Discover the Top US Outsourced Customer Support Companies
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 × Sort by: Avg Hourly Price: High to Low ×Clear Filters
P3 Healthcare Solutions specializes in medical billing, compliance, and MIPS consulting, helping healthcare providers streamline operations, boost revenue, and deliver quality patient care with innovative, secure solutions...
Top Services:
Business Consulting
Customer Support
CRM Consulting
Location
Ontario, California
Number of Employees
Under 49
Average Hourly Rate
$1000/hr
Minimal Budget
Under $1,000
Portfolios Count
1 Project Listed
P3 Healthcare USA Services
Business Consulting
Customer Support
CRM Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Bay Laurel Solutions is a woman-owned, LGBTQ+ business helping freelancers and SMEs thrive online with simple, effective web design, branding, and SEO. We create custom solutions that drive growth and reflect your brand...
Top Services:
Web Design
WordPress Website Design
eCommerce Development
Digital Strategy
Branding
Show more
Location
San Francisco, California
Number of Employees
Under 49
Average Hourly Rate
$75/hr
Minimal Budget
Under $1,000
Bay Laurel Solutions Services
Web Design
WordPress Website Design
eCommerce Development
Digital Strategy
Branding
SEO
Logo Design
Business Consulting
Market Research
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Fair Capital, your premier debt collection agency. Effective and affordable with a 'no recovery, no fee' policy. Maximum results with a positive approach...
Top Services:
Customer Support
Business Consulting
Accounting
Call Centers
Show more
Location
Spring Valley, New York
Number of Employees
100 - 249
Average Hourly Rate
$50/hr
Minimal Budget
$10,000 - $25,000
Portfolios Count
1 Project Listed
Fair Capital Services
Customer Support
Business Consulting
Accounting
Call Centers
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
T-Mobile
Samsung
Hilton
ipsos
Data sourced from the agency's DesignRush profile
Fair Capital Reviews & Testimonials
J Review from Google
5.0★
J's Review Sourced from Google
I’ve had a positive experience with Fair Capital. Interactions were polite, professional, and communication was clear. My issues were resolved and appropriate care was taken by the Fair Capital team. I would recommend for anyone considering their services.
eva alexandre Review from Google
5.0★
eva alexandre's Review Sourced from Google
I loved working with them, especially Ben. Curtious, professional, and was able to get the payments from the client within a month (something that I was unsuccessful at for 6 months prior). Highly recommend.
Tricia Roberts Review from Google
5.0★
Tricia Roberts's Review Sourced from Google
We haven't worked with collections companies very often, so I wasn’t sure what to expect, but my experience with Fair Capital was extremely positive. Their team was very responsive, always available to answer questions, and provided truly personal service throughout the process. They made everything straightforward and professional from start to finish. Exceptional experience overall.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Medical Billing Company | Billing Services As Low As 2.89%
We are Providers Care Billing LLC, a medical billing company based in Illinois, USA, offering comprehensive medical billing and coding services at a competitive rate of just 2.89%. With a 4.9-star rating and outstanding client feedback, we proudly maintain a 100% satisfaction rate...
Top Services:
BPO
Business Consulting
Customer Support
Location
Schaumburg, Illinois
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Providers Care Billing LLC Services
BPO
Business Consulting
Customer Support
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
Providers Care Billing LLC Reviews & Testimonials
Andy Huys Review from Google
5.0★
Andy Huys's Review Sourced from Google
Providers Care Billing has been amazing for my private practice needs over the past year. Gustavo and his team are attentive, quickly responsive and professional in every way. I highly recommend using their services!
Practice Administrator Review from Google
5.0★
Practice Administrator's Review Sourced from Google
Providers Care Billing has been amazing. As we expanded we needed support to continue in our insurance billing department. Transition to them was seamless, they are professional, extremely knowledgable and I highly recommend them. They are on top of everything, and very responsive.
Katie Kussard Review from Google
5.0★
Katie Kussard's Review Sourced from Google
We started our practice almost a year ago and have been using Providers Care Billing since the beginning. Gustavo and his team have been amazing! They respond to our questions in a very timely manner and have supported us in resolving any issue we have had with insurance companies. The rate we pay for this service can't be beat. We highly recommend Providers Care Billing.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
DGC BPO Service is a premier US-based outsourcing company offering expert customer service, call center solutions, virtual assistance, and lead generation. We help businesses optimize operations, improve customer experiences, and drive growth with tailored, efficient solutions...
Top Services:
BPO
Call Centers
Customer Support
Phone Answering Services
Digital Marketing
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Location
New York City, New York
Number of Employees
Under 49
Average Hourly Rate
$25/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
1 Project Listed
DGC BPO Service Services
BPO
Call Centers
Customer Support
Phone Answering Services
Digital Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Customized RCM Strategies For US Healthcare Providers
At 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗖𝗮𝗿𝗲 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝘀, we are more than just a medical billing company, we are your trusted partner in maximizing revenue, minimizing claim denials, and streamlining your entire Revenue Cycle Management (RCM) process. With deep expertise in the...
Top Services:
BPO
Business Consulting
Customer Support
Location
Sheridan, Wyoming
Number of Employees
Under 49
Average Hourly Rate
$25/hr
Minimal Budget
Under $1,000
Billing Care Solutions Services
BPO
Business Consulting
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Healthcare Industry
Specialty Clinics
Hospitals
Data sourced from the agency's DesignRush profile
Billing Care Solutions Reviews & Testimonials
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 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.
Jennifer Aaron Review from Google
5.0★
Jennifer Aaron's Review Sourced from Google
Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
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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
Accounting
Market Research
Social Media Marketing
SEO
Web Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
CareRCM is a U.S.-based medical billing and revenue cycle management company founded in 2016, helping healthcare providers across the United States reduce claim denials, accelerate reimbursements, and maximize revenue...
Top Services:
Accounting
Digital Services
Digital Marketing
Business Consulting
Market Research
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Location
Manassas, Virginia
Number of Employees
250 - 499
Average Hourly Rate
$20/hr
Minimal Budget
$50,000 & Up
Portfolios Count
1 Project Listed
CareRCM Services
Accounting
Digital Services
Digital Marketing
Business Consulting
Market Research
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Evateck is a Business Process Outsourcing (BPO) provider helping businesses scale operations through dedicated and shared teams customer support, back-office, content moderation, and data entry. Expertise across SaaS, eCommerce, fintech, healthcare, and logistics...
Top Services:
BPO
Customer Support
Call Centers
Phone Answering Services
Staff Augmentation
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Location
Fort Lauderdale, Florida
Number of Employees
Under 49
Average Hourly Rate
$16/hr
Minimal Budget
$1,000 - $10,000
Evateck Services
BPO
Customer Support
Call Centers
Phone Answering Services
Staff Augmentation
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We provide fully turnkey solutions handling legal setup, HR, payroll, accounting, compliance, facilities, and day-to-day supervision so our clients can focus exclusively on sales, growth, and performance. Write everything around this idea , this is the core service we offer...
Top Services:
BPO
Call Centers
HR Outsourcing
Phone Answering Services
Customer Support
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Location
Chula Vista, California
Number of Employees
100 - 249
Average Hourly Rate
$15/hr
PromoCall Services
BPO
Call Centers
HR Outsourcing
Phone Answering Services
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Malakos Healthcare Solutions is a U.S. focused medical billing and revenue cycle management company helping healthcare practices improve reimbursements, reduce claim denials, and streamline billing operations. We support specialties including chiropractic, pain management, physical therapy, behavioral health...
Top Services:
Customer Support
IT Services
BPO
Call Centers
Business Consulting
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Location
Cheyenne, Wyoming
Number of Employees
50 - 99
Average Hourly Rate
$15/hr
Portfolios Count
1 Project Listed
Malakos Healthcare Solutions Services
Customer Support
IT Services
BPO
Call Centers
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We Create With Your Needs And Preferences In Mind.
GoBro Web Services is a California-based web design and digital solutions agency that helps businesses strengthen their online presence through professional website design, web and app development, branding, SEO, digital marketing, and technical support services. The agency focuses on delivering modern...
Top Services:
Digital Services
Graphic Design
Web Design
Digital Marketing
Email Marketing
Show more
Location
Lake Elsinore, California
Number of Employees
100 - 249
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
GoBro PH Services
Digital Services
Graphic Design
Web Design
Digital Marketing
Email Marketing
Social Media Marketing
BPO
IT Services
Customer Support
Managed Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
IdeasUnlimited is a BPO with fifteen (15) years of experience in providing various BPO services...
Top Services:
Call Centers
Phone Answering Services
IT Services
BPO
Customer Support
Show more
Location
Sugar Land, Texas
Number of Employees
100 - 249
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
2 Projects Listed
IdeasUnlimited Services
Call Centers
Phone Answering Services
IT Services
BPO
Customer Support
Transcription Services
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
BabeBox
PatPat
Sapphire
Messenio
Stevens Realty
Justin TV (now known as Twitch TV)
Data sourced from the agency's DesignRush profile
IdeasUnlimited Reviews & Testimonials
Kimberly Weber President and Founder at Iowa Home Care
5.0★
BPO Review from Kimberly Weber
We brought on IdeasUnlimited to help with our back office work so our nurses and staff could stay focused on clients. They handle scheduling, reports, emails, and client inquiries, and they picked up new tasks fast with very little training. The time we save is huge, and it makes our daily operations smoother. What I like most is they really try to fit into how we work, so it feels like they are part of our own team. The onboarding took a little time, but once we got set, everything has been running well.
Miriam Woodward Founder President and CEO at De Dios Consulting
5.0★
BPO Review from Miriam Woodward
IdeasUnlimited has been a dependable partner for us at De Dios Consulting. They handle our scheduling, emails, research, and reports, which freed up time for us to focus on clients. What I value most is how quickly they adapt and how much they feel like part of our team. The only challenge was getting them up to speed on a few tools, but once they learned, everything has been smooth.
Jeffrey Bill Founder & CEO at Sunrise Treatment Center
5.0★
Medical Review from Jeffrey Bill
Working with IdeasUnlimited has been a real help for us at Sunrise Treatment Center. We brought them in to handle our medical billing so our staff could focus more on patients. They learned our system fast and cut down on errors which meant we got paid quicker and had better cash flow. Communication has always been easy and they adjust when we need something changed. What stood out most is how detailed and reliable they are. Nothing is ever perfect but they came pretty close.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
We help businesses deliver fast, reliable, and professional customer support across all channels. Whether you need inbound support, outbound follow-ups, or a dedicated remote team, we tailor our services to fit your operations and scale with your growth...
Top Services:
BPO
Customer Support
Phone Answering Services
Call Centers
Show more
Location
St. Petersburg, Florida
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Portfolios Count
2 Projects Listed
The Acme Solutions Services
BPO
Customer Support
Phone Answering Services
Call Centers
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Right on Time Billing Services is a Houston-based medical billing company offering coding, claims submission, and full revenue cycle management. We help Home Health, Hospice, and Behavioral Health practices reduce denials and increase revenue...
Top Services:
Customer Support
Location
Houston, Texas
Number of Employees
100 - 249
Average Hourly Rate
$9/hr
Minimal Budget
$1,000 - $10,000
Right On Time Billing Services
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Ambrosia Functional Medicine
Round Rock Home Health Service
Keswood Home Health Services LLC
Aperture Hospice LLC
Westheimer Chiropractic
Clinicians Connect Care HH
Memorial Home Health Care
Stay Care Home Health Services LLC
Data sourced from the agency's DesignRush profile
Right On Time Billing Reviews & Testimonials
Jasmine Enriquez Review from Google
5.0★
Jasmine Enriquez's Review Sourced from Google
I am truly grateful for my home care provider. They are compassionate, dependable, and always treat me with kindness and respect. They go above and beyond to make sure my needs are met, and they make a positive difference in my daily life. Their patience, professionalism, and caring heart are appreciated more than words can express. I feel supported and valued because of the excellent care they provide. And I love Ms.Lori she always their for me when I need something and she always answer my calls when I need to ask questions this agency is 10/10 for me I highly recommend ❤️
Susy Barneond-Khalili Review from Google
5.0★
Susy Barneond-Khalili's Review Sourced from Google
They have been a God sent for me and my home health agency. Before them I was drowning in debt, insurances were not paying on time, after them, life is AWESOME!!
Humayon Khan Review from Google
5.0★
Humayon Khan's Review Sourced from Google
If you’re looking for a qualilty billing company look no further. ROT billing provides exceptional billing services for our agency. Their staff is very professional and courteous. Highly recommended.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
What services do US customer support outsourcing companies provide?
They provide voice and digital support services for faster response to customer inquiries and reducing operational burdens.
Voice support services include inbound customer service calls, escalations, billing and account inquiries, troubleshooting, and retention calls, with the segment accounting for roughly 60% of contact center outsourcing revenue in 2024. Companies continue to rely on voice support for high-stakes, emotionally charged, or technically complex issues that are difficult to resolve asynchronously.
The remaining ~40% of the revenue share is distributed across digital and automation-augmented support services, typically referring to live chat, messaging support, email support, social media customer support, chatbot self-service solutions, and co-browsing support.
When can clients expect ROI after signing such a service?
Return on investment (ROI) from an outsourced customer service depends on whether the business is fixing immediate capacity gaps or rebuilding support as an operation.
Overflow / after-hours coverage: Returns are gained within 1 to 2 months as the business reduces tickets, weekend backlogs, and churn-risk moments almost immediately.
Replacing in-house hiring: Value is typically noticed in 2 to 4 months once the team is live, because outsourcing is often pursued for material cost reduction.
Seasonal outsourcing (holidays, promos, spikes): ROI can be expected in 1 to 3 months because such short-term engagements prevent over-hiring and rushed training failures during peak demand.
Full migration (voice + email + chat + QA): Positive returns show in 3 to 6 months because the most notable returns will come from stabilized operations.
Niche support (regulated, technical, multi-brand, multilingual): Slower gains, visible in 4 to 9 months, due to knowledge transfer and escalation flows that take longer to set.
How much does customer support outsourcing cost in the US?
The average hourly rate of outsourced customer support companies in the US is $50. Based on these estimations, you can expect the following service rates:
Pricing model
Pricing range
Per hour
$40-$60 per hour
Per agent (full time equivalent - FTE)
$1,200-$4,000/month per agent
Per ticket or interaction
$1-$5 per ticket or $0.50–$2 per chat
The final service fee is not solely determined by the number of hired agents or mere hours of service delivered. The technical setup, service type, hours of coverage, and the language also add up to the service rate. Namely:
The more technical or regulated the product, the higher the training burden, which adds to the price.
Nights, weekends, and 24/7 coverage cost more than a standard 9-to-5 setup.
Multilingual support i.e., non-English customer support often increases costs by 20-40%.
In terms of channel, email or chat-only are the cheapest options. Voice, social, or omnichannel coverage incurs higher service fees.
CRMs, live chat, help desks, and chatbots entail setup or licensing fees.
What are the typical timelines for a customer support outsourcing company to setup and go-live for a new client?
In most cases, businesses can anticipate a rollout that moves from training to full coverage in 6 to 12 weeks.
Week 2-4 (setup and training): The outsourced customer support provider trains agents. At the same time, communication channels are set and escalation paths defined.
Week 5-8 (soft launch): Outsourced agents begin tackling low-risk, high-volume tickets, wherein every interaction is monitored and reviewed.
Week 9-12 (full go-live): The outsourced agents ramp to full coverage across agreed channels, and by this point, can resolve ~80% of issues without escalation.
What industries are these specialists most frequently engaged by?
Adoption of customer support outsourcing varies by industry, with the biggest concentration remaining in sectors with high volume, high complexity, or strict service expectations. The highest adoption is seen across: