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.

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 × Wellness & Fitness × Sort by: Top Rated ×Clear Filters
  • You Create, We Support.

    MixBS helps businesses grow by providing market research, practical strategies, and decision-making support to achieve sustainable success...

    Top Services:

    • Call Centers
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • BPO
    • Show more
    Location
    Miami, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    4 Projects Listed

    MiXBS, LLC Services

    • Call Centers
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • BPO
    • Market Research
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • CDEK
    • Buch
    • Ramayoga
    • Imark Tech
    • SovPlym
    • KNOVR
    Data sourced from the agency's DesignRush profile

    MiXBS, LLC Reviews & Testimonials

    • Kevin Swindlehurst
      Kevin Swindlehurst Airline Operations Supervisor at Flightworx Aviation
      5.0

      Customer Support Review from Kevin Swindlehurst

      If youre looking for a partner thats flexible, highly skilled in multilingual customer support, and deeply knowledgeable in customer development and market research, MiXBS is the team you need. Their ability to adapt, deliver results, and provide top-tier support makes them stand out in the industry. We couldnt be happier with the partnershiptheyre exactly what we needed, and honestly, theyre awesome.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Where Ideas Turn Into Scalable Products.

    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
    • LED City USA
    • Campit.xyz
    • Optiano Pakistan
    • LeathersInn
    • Nur Manufacturing
    • Marina Builders & Developers
    • Golden Woods Development
    • Iwinto
    • Podconnect Studios
    • City Property UAE
    Data sourced from the agency's DesignRush profile
  • 24/7 Live Answering, Virtual Receptionist & Call Center Solutions

    AnswerFirst helps businesses stay connected with real, helpful people answering every call day or night. No bots. No scripts. Just trained Customer Service Professionals who know how to support your customers when it matters most...

    Top Services:

    • Phone Answering Services
    • Call Centers
    • Customer Support
    Location
    Tampa, Florida
    Number of Employees
    100 - 249
    Minimal Budget
    Under $1,000

    AnswerFirst Communications Services

    • Phone Answering Services
    • Call Centers
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • AAMCO
    • ABM
    • AFC Urgent Care
    • AFLAC
    • Bauer Food, LLC (Operates McDonald's)
    • Berkshire Hathaway
    • Brookhaven National Lab
    • Coldwell Banker
    • Century 21
    • Cushman and Wakefield
    Data sourced from the agency's DesignRush profile

    AnswerFirst Communications Reviews & Testimonials

    • Johnson Legal PLLC
      Johnson Legal PLLC Review from Google
      1.0

      Johnson Legal PLLC's Review Sourced from Google

      As a small law office, we used AnswerFirst for about a year. We opted not to have calls recorded as their system has an irritating "beep" that sounds in the background while customers are on the phone. We thought things were going well. Several months later we signed up for CallRail, which recorded all incoming calls. We began to see a pattern of poorly handled calls. When we shared this information with management, and offered to provide the recording, they said "no thanks." The probems continued. For instance one caller asked if we did simple Wills. The AnswerFirst agent said, "No, we only do Estate Planning." After sharing these simple issues with management nothing changed. We asked if they could give us an adjustment to our bill based on the poorly handled responses. They said "No." We notified them this week we were switching carriers and they acted like they could care less. DO NOT use them as they cannot handle the simplest of calls.

    • Demetri Karoutsos
      Demetri Karoutsos Review from Google
      5.0

      Demetri Karoutsos's Review Sourced from Google

      Outstanding After-Hours Answering Service – Highly Recommend for Service-Based BusinessesWe've transitioned to AnswerFirst about four months ago for our after-hours answering service needs, and they’ve exceeded every expectation. Their live agent support, combined with responsive customer service and advanced technology integration, has provided our team with a seamless and professional solution that far surpasses our previous provider.What sets AnswerFirst apart is their adaptability to our unique workflows, quick response times, and overall attention to detail. As a service business, having a reliable, U.S.-based call center is essential and AnswerFirst delivers with consistency and clarity.Their platform gives us the functionality we need, and the quality of their after-hours call handling has significantly improved both our internal efficiency and our customer experience.If you're a service-based company looking for high-quality live agents, professional support, and a partner who understands urgency and accountability, I highly recommend AnswerFirst. Exceptional value, exceptional team.Demetri KaroutsosDirector, CareMaster

    • Scott Lady
      Scott Lady Review from Google
      5.0

      Scott Lady's Review Sourced from Google

      Finally, and I mean FINALLY an inbound call center who does what they say they will do, and does it excellently.Danielle and Robert have been incredible helping me with my campaigns, and ensuring everything is flowing smoothly.I highly recommend giving them a shot for your call inbound call needs.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Let's Save Lives Together

    CureMD's physician billing services are easy and stress free Our team of experts will handle all the complex details, so you can focus on providing excellent patient care...

    Top Services:

    • Software Testing
    • AI Development
    • Software Development
    • CRM Consulting
    • Call Centers
    • Show more
    Location
    New York City, New York
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000

    CureMD Services

    • Software Testing
    • AI Development
    • Software Development
    • CRM Consulting
    • Call Centers
    • Market Research
    • Customer Support
    • Event Marketing
    • Digital Marketing
    • Mobile App Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Eastside Gynecology
    • Gaston County
    • Care Health & Fitness
    • Denvill Diagnostics
    Data sourced from the agency's DesignRush profile

    CureMD Reviews & Testimonials

    • Lolita Prieto
      Lolita Prieto Review from Google
      5.0

      Lolita Prieto's Review Sourced from Google

      I HAVE NEVER WORKED WITH SUCH A DETAILED AND ACCOUNTIBLE CREDETIALING CO. RON DAVIS WAS AMAZING. HE HAD PATIENCE AND GUIDED ME STEP BY STEP. HE IS NOW OUR CREDENTIALING COMPANY.

    • ira cantor
      ira cantor Review from Google
      5.0

      ira cantor's Review Sourced from Google

      Liam and his billing team have consistently delivered outstanding service. Their dedication, accuracy, and proactive mindset set them apart. Even in the face of complex billing challenges, they respond with clarity and efficiency, ensuring every detail is handled with care. Liam’s leadership reflects a deep understanding of the process and a strong commitment to excellence, which clearly influences the entire team. Their responsiveness, collaborative approach, and problem-solving abilities make them a truly invaluable partner. It’s a pleasure to work with such a reliable and high-performing team.

    • Christopher Kelley
      Christopher Kelley Review from Google
      5.0

      Christopher Kelley's Review Sourced from Google

      Liam and his billing team have been truly exceptional. Their dedication, precision, and proactive approach consistently stand out. They handle even the most complex billing scenarios with remarkable efficiency and clarity, ensuring that nothing falls through the cracks. Liam leads with professionalism and a deep understanding of the process, setting a high standard for the entire team. Their responsiveness, problem-solving mindset, and collaborative attitude have made them an indispensable part of the operation. It’s genuinely a pleasure to work with such a committed and high-performing team.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Scale Your Business With Quality Outsourced Teams In ‍Back Office Support.

    RPM stands out as a comprehensive solution provider, offering bilingual expertise in both English and Spanish, with the flexibility to provide full-time or part-time dedicated resources, fully managed to meet diverse operational needs. Our capabilities span a wide spectrum, encompassing intricate back-office...

    Top Services:

    • BPO
    • Customer Support
    • Call Centers
    • Staff Augmentation
    • Show more
    Location
    San Jose, California
    Number of Employees
    100 - 249
    Minimal Budget
    Under $1,000

    RPM Services

    • BPO
    • Customer Support
    • Call Centers
    • Staff Augmentation
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • CareerVault
    • Way
    • The Bright App
    Data sourced from the agency's DesignRush profile
  • "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
    • Show more
    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
    • Blue Wave Marketing
    • Fitness Machine Technicians
    • Urban key
    • Prime Edge Finance
    • Vital Care Solution
    Data sourced from the agency's DesignRush profile
  • AI-Powered Medical Billing Company

    Dastify Solutions is an Austin, Texas-based revenue cycle management (RCM) firm with a presence in California, specializing in AI-driven medical billing, credentialing, and accounts receivable (AR) recovery...

    Top Services:

    • BPO
    • Email Marketing
    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed

    Dastify Solutions Services

    • BPO
    • Email Marketing
    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Managed Services
    • IT Services
    • Business Consulting
    • Call Centers
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Beauty Industry
    • Health Care Industry
    • Wellness & Fitness Industry
    Data sourced from the agency's DesignRush profile

    Dastify Solutions Reviews & Testimonials

    • Yami Sozi MD
      Yami Sozi MD Review from Google
      5.0

      Yami Sozi MD's Review Sourced from Google

      We’ve been partnering with Dastify Solutions for our mental health practice, and they have been absolutely fantastic to work with. The onboarding process was seamless, thanks to Andy Adams on the sales side he was incredibly nice, patient, and made sure all our initial questions were answered. On a day-to-day basis, Ricky, our operations manager, has been a total lifesaver. He handles all of our billing and complex mental health prior authorizations flawlessly. It’s a huge relief knowing our claims are in such capable hands. Highly recommend them!

    • Jesse Vaughan
      Jesse Vaughan Review from Google
      5.0

      Jesse Vaughan's Review Sourced from Google

      I’ve worked with four medical billing companies over the past decade. Dastify Solutions is in a different league. Their 97.4% first-pass acceptance rate isn’t marketing — we verified it against our own EOB data. Their credentialing and provider enrollment services managed five new providers last year with zero billing gaps. On the accounts receivable management side, our days in AR dropped from 52 to 31 and collections improved over 30%. For any growing practice evaluating medical billing services, Dastify delivers the precision and compliance most RCM companies only promise.

    • Robert Coleman
      Robert Coleman Review from Google
      5.0

      Robert Coleman's Review Sourced from Google

      Running a behavioral health practice with 12 providers across psychiatry and substance abuse treatment means complicated billing. We brought in Dastify Solutions for end-to-end revenue cycle management and the results were immediate. Their credentialing services got three new providers paneled in under 45 days. They restructured our charge capture, implemented real-time eligibility verification, and our net collection rate jumped from 89% to 96%. Their AR management team lets nothing fall through the cracks. Dastify doesn’t just process claims — they protect your revenue.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Maximizing Healthcare Revenue With Accuracy, Compliance & Transparency

    OutsourceRCM helps healthcare providers streamline their revenue cycle with accurate medical billing, denial management, and patient payment solutions driving faster reimbursements and improved financial performance...

    Top Services:

    • Customer Support
    • Call Centers
    • Phone Answering Services
    Location
    Princeton, New Jersey
    Number of Employees
    250 - 499
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed

    OutsourceRCM Services Services

    • Customer Support
    • Call Centers
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Misys Tiger
    • Medisoft
    • Ortivus AB
    • Athena
    • AdvancedMD
    Data sourced from the agency's DesignRush profile

Outsourced Customer Support Companies by City

Outsourced Customer Support Companies by State

Popular Services

Customer Support Outsourcing Companies FAQs

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

  • BSFI (banking, financial services, insurance): 72% 
  • Healthcare: 65% 
  • Retail: 61% 
  • Technology/SaaS: 58% 

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