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.
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMiXBS, LLC Services
Data sourced from the agency's DesignRush profileCDEK Buch Ramayoga Imark Tech SovPlym KNOVR
MiXBS, LLC Reviews & Testimonials

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 ReviewsEmpowering Healthcare Providers
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMalakos Healthcare Solutions Services
Data sourced from the agency's DesignRush profileCorporate Services Industry Health Care Industry Dental Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAnswerFirst Communications Services
Data sourced from the agency's DesignRush profileAAMCO ABM AFC Urgent Care AFLAC Bauer Food, LLC (Operates McDonald's) Berkshire Hathaway Brookhaven National Lab Coldwell Banker Century 21 Cushman and Wakefield
AnswerFirst Communications Reviews & Testimonials
LinMo's Review Sourced from Google
Porting my phone number over to Answer First was ver easy and simple. Allison was quick to find answers to my concerns and walked me through the process efficiently. I am really happy with my experience.
Justine Karren's Review Sourced from Google
Recently signed up with AnswerFirst and couldn't be happier! We've also received nothing but positive feedback from our clients. We also contacted support for the first time and our request was completed within a half-an-hour of creating the ticket.
Karen Mason's Review Sourced from Google
Extremely disappointed. After assuring me that they could pre-qualify callers, they decided that they really couldn't do that and re-wrote the scripts in such a way that I might as well use AI or even a simple voice activated call routing system. They declined even the simplest request: I wanted them to add callbacks to the first available time slot on my schedule -- NOT to schedule the callback time with the client, just to put the message on MY calendar so I would have time carved out to return the call. For some reason that was too hard for them. They did, however, send me messages that were supposedly for me, even though I had never forwarded my lines to them.The response below says they couldn't schedule a callback without the callers permission, which only proves my point that they didn't listen so they didn't get it: all I wanted them to do was add the message to call back to my calendar rather than just taking a message. How is that doing anything without the caller's consent? It was just meant to block time in MY day. Nothing more.If you couldn't qualify callers in your environment, you should have said so when I asked.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsMaximizing 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsOutsourceRCM Services Services
Data sourced from the agency's DesignRush profileMisys Tiger Medisoft Ortivus AB Athena AdvancedMD
Transforming Your Ideas Into Reality
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTasks Expert Services
Data sourced from the agency's DesignRush profilePiedmont Hemp Co My Safety Consultant ImPowered Minds
Tasks Expert Reviews & Testimonials
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'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'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 ReviewsYour success our process.
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBolsterBiz India LLP Services
Data sourced from the agency's DesignRush profileKlover FightCamp ShipBob
Delivering Dependable Customer Support
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsThe Acme Solutions Services
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Wellness & Fitness Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsProviders Care Billing LLC Services
Data sourced from the agency's DesignRush profileHealth Care Industry Wellness & Fitness Industry Dental Industry
Providers Care Billing LLC Reviews & Testimonials
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'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'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 ReviewsYour Trusted Partner in Healthcare Excellence
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsP3 Healthcare USA Services
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Wellness & Fitness Industry
"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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsASK 2 PRO Services
Data sourced from the agency's DesignRush profileBlue Wave Marketing Fitness Machine Technicians Urban key Prime Edge Finance Vital Care Solution
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDastify Solutions Services
Data sourced from the agency's DesignRush profileBeauty Industry Health Care Industry Wellness & Fitness Industry
Dastify Solutions Reviews & Testimonials
John Monroe's Review Sourced from Google
We had several ageing claims that our internal team could not resolve. Dastify Solutions reviewed each account contacted the payers & addressed the issues holding up payment. Their follow-up was organized and effective
Charles Mass's Review Sourced from Google
Managing billing internally had become overwhelming for our practice. Dastify Solutions now handles our claims, payment posting, denials, and payer follow-ups while keeping us updated with clear reports. We finally have a billing process we can understand and manage confidently
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!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsScale 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsRPM Services
Data sourced from the agency's DesignRush profileCareerVault Way The Bright App
Experience You Can Trust
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsStar Billing Solutions Services
Data sourced from the agency's DesignRush profileDental Care Partners Family Medicine Clinic Cardiology Practice
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEllite Assistant Services
Data sourced from the agency's DesignRush profileUsautopart Source Global IT Advisory LLC Arrowscope IT Solutions
Demystifying Web Presence | Simple Web Solutions
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBay Laurel Solutions Services
Data sourced from the agency's DesignRush profileTeleWellness Hub Poster Institute Black Girls Can Talk SF Placenta Encapsulation Wayfarer Bread
Transform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!
Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...
Top Services:
- Digital Marketing
- SEO
- PPC
- Social Media Marketing
- Customer Support
- Show more
- Location
- Brookfield, Connecticut
- Number of Employees
- 50 - 99
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSaevah Services
Data sourced from the agency's DesignRush profileHealth Products For You Rehab Store Decorators Best Stanzme Interact123 Law Office of Afsha Rangwala Shop Wound Care Damozelle
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCureMD Services
Data sourced from the agency's DesignRush profileEastside Gynecology Gaston County Care Health & Fitness Denvill Diagnostics
CureMD Reviews & Testimonials
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'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'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 ReviewsWhere 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCoderzHub Services
Data sourced from the agency's DesignRush profileLED City USA Campit.xyz Optiano Pakistan LeathersInn Nur Manufacturing Marina Builders & Developers Golden Woods Development Iwinto Podconnect Studios City Property UAE
Optimizing Your Revenue One Cycle At A Time
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsProRCM LLC Services
Data sourced from the agency's DesignRush profileHealth Care Industry Hospitality Industry Wellness & Fitness Industry
Outsourced Customer Support Companies by City
Outsourced Customer Support Companies by State
Popular Services
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
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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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