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 × Wellness & Fitness × Sort by: Avg Hourly Price: Low to High ×Clear Filters
Tasks Expert provides highly skilled virtual assistants for businesses worldwide, offering administrative, marketing, bookkeeping, website development, and customer support services tailored to business needs...
Top Services:
Customer Support
BPO
Location
Kansas City, Missouri
Number of Employees
50 - 99
Average Hourly Rate
$5/hr
Minimal Budget
$1,000 - $10,000
Tasks Expert Services
Customer Support
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Piedmont Hemp Co
My Safety Consultant
ImPowered Minds
Data sourced from the agency's DesignRush profile
Tasks Expert Reviews & Testimonials
Katina LaFond Review from Google
5.0★
Katina LaFond's Review Sourced from Google
Working with Myra has been such a gift. From the very beginning, she took the time to truly understand me, my vision, and the heart behind my work. She didn’t just check off tasks — she listened deeply, asked the right questions, and found my voice in a way that feels so authentic and aligned.Her creativity, attention to detail, and dedication shine through in everything she does. Whether it’s developing content, organizing my ideas, or helping bring complex projects to life, Myra approaches each task with professionalism, thoughtfulness, and care.What I appreciate most is her genuine investment in my success. She consistently goes above and beyond to make sure things not only get done, but get done beautifully. She’s patient when I get behind, quick to adapt when priorities shift, and always brings fresh ideas to the table.Myra has become more than just a VA — she’s a trusted partner who understands the bigger picture and helps me move toward it with confidence. I feel incredibly lucky to have her on my team, and I can’t wait to see all we accomplish together.
Dan Charles Review from Google
5.0★
Dan Charles's Review Sourced from Google
Having worked with Task Experts for a few months now, I've been really impressed with their proactive nature, communication and attitude towards doing the work right first time. They really go above and beyond to ensure that things are done in a timely manner and to a very high standard. After hiring my first VA (Max) with them to help with financial work, I now have a second VA who is doing technical work for us as well and they've both being very responsive and willing to help lighten the load for our business. I can't recommend them enough
Awobodede Jesutofunmi Review from Google
5.0★
Awobodede Jesutofunmi's Review Sourced from Google
I recently had the pleasure of working with a fantastic virtual assistant company that truly exceeded my expectations. Their team was professional, responsive, and incredibly efficient in handling all the tasks I threw their way. From managing my schedule to tackling research projects, they delivered top-notch support with a friendly attitude. The seamless communication and attention to detail made my life so much easier—I can’t recommend them highly enough! If you’re looking for reliable, high-quality virtual assistance, this company is a game-changer.
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
Virtual Assistant Services That Give You Your Time Back
Ellite Assistant is a professional remote staffing and virtual assistant services company that provides dedicated remote support to businesses. The company helps business owners and teams delegate administrative, customer service, sales, marketing, technical, research, and operational tasks to virtual...
Top Services:
Business Consulting
Digital Services
HR Outsourcing
Customer Support
Managed Services
Show more
Location
New York City, New York
Number of Employees
Under 49
Average Hourly Rate
$5/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
1 Project Listed
Ellite Assistant Services
Business Consulting
Digital Services
HR Outsourcing
Customer Support
Managed Services
AI Development
Social Media Marketing
Digital Marketing
SEO
AEO
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
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
BolsterBiz specializes in offshoring services designed to optimize efficiency and boost business performance. Our tailored solutions, including 24/7 Customer Support, Digital Marketing, and Data Analytics, cater to your unique business needs...
Top Services:
Customer Support
Staff Augmentation
BPO
Location
Wilmington, Delaware
Number of Employees
100 - 249
Average Hourly Rate
$8/hr
Minimal Budget
$1,000 - $10,000
BolsterBiz India LLP Services
Customer Support
Staff Augmentation
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...
Top Services:
BPO
Customer Support
Transcription Services
Phone Answering Services
CRM Consulting
Show more
Location
Phoenix, Arizona
Number of Employees
50 - 99
Average Hourly Rate
$10/hr
Minimal Budget
$1,000 - $10,000
Star Billing Solutions Services
BPO
Customer Support
Transcription Services
Phone Answering Services
CRM Consulting
Managed Services
Cloud Consulting
AI Development
CRO
Digital Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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 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
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 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 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 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
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
Show more
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
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
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 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 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 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
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
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
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
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
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: