Strong on both Core Competencies and 360-Performance. These firms have proven track records, deep specialisation, and solid client outcomes. Default recommendation for most buyers.
Top BPO Companies in the USA
Goodfirms has reviewed 2,773 BPO Companies in the USA as of September 2026. The top-ranked firm is Appointment Setter Online (4.9 stars, 51 verified reviews, NA, founded 2010, Brooklyn). Across the category, the median hourly rate is $25, median client rating is 4.7, and 30% of firms employ 50+ members. Explore the vetted BPO Companies in the USA below, compare their strengths, and connect with the provider best suited to your requirements.
Are you searching for BPO companies in the USA to outsource your company's noncritical functions? It will also allow you to act more quickly and efficiently when managing the risks associated with new products or services. So, with the help of business process outsourcing (BPO) services in the USA, you can allocate responsibility to the experts and reassign your internal personnel to more critical tasks. When the functions are outsourced to established BPO firms in the USA that have all the resources, you will not have to worry about hiring and training. Below is a list of the top BPO companies in the United States by Goodfirms.
Goodfirms has verified 2,773 BPO Companies in the USA - part of 6,243+ BPO Companies in the World, each passing Goodfirms' 4-step verification process (background check, client interviews, portfolio audit, ongoing quality review). Listings marked "Sponsored" are agencies that pay for premium placement - sponsorship does not affect star ratings or review content.
Top 10 at Glance
Compare the highest-ranked firms first side by side.
Here are the Top BPO Companies in the USA
Progressus Revenue was created to provide physicians with competent revenue cycle management. Our teams help grow practice revenue by utilizing proper coding and basic accounting principles. Our initial clients were physicians that were tired of working with billing companies that delivered poor results, or outsourced their business to other countries. All of our work is ... read Progressus Revenue reviews & insights
Progressus Revenue was created to provide physicians with competent revenue cycle management. Our teams help ... read Progressus Revenue reviews & insights
< $25/hr2 - 9Houston, United StatesWith any job, it’s nice to know what your day’s going to look like – even when you’re the one deciding. Since you’re going to own your business, your days won’t be set in stone until you decide what you think is best. This module will aid you in that decision-making process, preparing you for ... read Medical Billing Opportunity reviews & insights
With any job, it’s nice to know what your day’s going to look like – ... read Medical Billing Opportunity reviews & insights
NA2 - 9Orlando, United StatesElvira came from New York to Florida with over 25 years of experience in Accounting. As she struggled to find a job in her field she came across Dr. Hannum who needed an accounting person. He hired her instantly and was impressed by her work. As she continued to do his books, she realized that ... read Vista Nona Billing & Coding reviews & insights
Elvira came from New York to Florida with over 25 years of experience in Accounting. ... read Vista Nona Billing & Coding reviews & insights
NA2 - 9Orlando, United StatesQuest National Services is a full service Revenue Cycle Management company focused on increasing the bottom line while decreasing the stress of our clients. With services ranging from medical billing to staffing to medical supply and inventory management, the team at Quest National Services is here to assist your organization with it's specific needs.
Quest National Services is a full service Revenue Cycle Management company focused on increasing the ... read Quest National Services reviews & insights
< $25/hr50 - 2492008Orlando, United StatesAramat services EMS organizations of all sizes and we are dedicated to maximizing our clients' revenue through our very effective and proficient billing processes, technology and exceptional level of customer service from our professional staff. With Aramat, you will experience a quick return on investment with consistent cash flow to your organization and worry-free compliance, ... read Aramat Billing Services reviews & insights
Aramat services EMS organizations of all sizes and we are dedicated to maximizing our clients' ... read Aramat Billing Services reviews & insights
$25 - $49/hr2 - 9Houston, United StatesLet us take burden of time consuming and complex medical billing processes. We take pride in handling the challenges of medical billing that doctor offices face every day. We complete 100% medical billing cycle and make sure that we recover every single penny from the health insurance companies and members balances. We communicate with doctor ... read Insignia Clinical Solutions reviews & insights
Let us take burden of time consuming and complex medical billing processes. We take pride ... read Insignia Clinical Solutions reviews & insights
NA2 - 9Kissimmee, United StatesAt Mount, we believe a simplified, efficient administrative function will make the work of health care providers easier, supporting you to focus on what you do best! Our healthcare support and business process outsourcing services are designed to improve financial performance, excellently support effectiveness of providers and insurance companies while enhancing satisfaction of patients. Our ... read Mount Healthcare Services reviews & insights
At Mount, we believe a simplified, efficient administrative function will make the work of health ... read Mount Healthcare Services reviews & insights
NA2 - 9Orlando, United StatesStreamlineMD™ is a technology-enabled healthcare business service company. Our mission is to Improve Healthcare by Helping Doctors Prosper. We offer a complete collection of services for Hospital-Based Radiologists, Outpatient Endovascular & Interventional Centers, Interventional Vein Centers, and Interventional Pain Management Centers to help them streamline the management of their clinical and billing information. Our solutions ... read Streamline MD reviews & insights
StreamlineMD™ is a technology-enabled healthcare business service company. Our mission is to Improve Healthcare by ... read Streamline MD reviews & insights
NA50 - 2491976Cuyahoga Falls, United StatesSince 1979, our team at NCG Medical has made it our mission to function as a part of your practice, taking billing off of your administrative team’s plates and freeing up your talented team for what’s most important—your patients. We’ll consult with your team to provide custom solutions that are right for your practice.
Since 1979, our team at NCG Medical has made it our mission to function as ... read NCG Medical reviews & insights
NA2 - 91979Orlando, United StatesMedAR provides medical billing (Accounts Receivable), practice management, and accounting services to hospital-based physicians. Our approach is to partner with our clients, employees, and external vendors to ensure the highest quality service available. Please visit us at www.medarms.com for more information!
MedAR provides medical billing (Accounts Receivable), practice management, and accounting services to hospital-based physicians. Our ... read Medical AR reviews & insights
$25 - $49/hr2 - 9Houston, United StatesWe provide a professional, expert medical billing, collection and administrative services for medical practitioners. Whether you require a complete turnkey billing service from start to finish or just need temporary staffing our experienced medical billing and collection team is sure to impress you. We have many years of experience in developing optimum denial management ... read Cliniva Healthcare Revenue Services reviews & insights
We provide a professional, expert medical billing, collection and administrative services for medical practitioners. Whether ... read Cliniva Healthcare Revenue Services reviews & insights
NA2 - 9Orlando, United StatesAdvantage Medical Billing is a billing company that provides the advanced and highest quality of practice management services to the full spectrum of medical and non-medical specialities, including behavioural, dental and medical specialities such as Physiotherapy, Orthopaedic, Dermatology, Neurology, Psychology, Cardiology, Oncology, family practice, Internal medicine, Allergy and Immunology, Neonatology, Pathology, Urology, Endocrinology, Gynaecology and ... read Advantage Medical Billing Solutions reviews & insights
Advantage Medical Billing is a billing company that provides the advanced and highest quality of ... read Advantage Medical Billing Solutions reviews & insights
$25 - $49/hr2 - 9Austin, United StatesEMBER was founded by Linda and Bill Tumbleson to fulfill a mission. They decided to leverage their combined experience in medical billing, software and information management, and business consulting to create a company that filled an obvious need. Linda had become distressed during her dealings with medical billing companies. With experience on both sides, she ... read Ember Medical Billing reviews & insights
EMBER was founded by Linda and Bill Tumbleson to fulfill a mission. They decided to ... read Ember Medical Billing reviews & insights
NA10 - 49Pflugerville, United StatesBilling Solutions for the Doctor and Patient Bilcorp Medical Billing Services, Inc. is a medical billing company committed to Health Care professionals with innovative solutions to ensure accurate and timely payments. Bilcorp Medical Billing has one priority, increase your profitability while reducing costs. Additionally , we can offer assistance with EMR set-up and other related ... read Bilcorp Medical Billing Services reviews & insights
Billing Solutions for the Doctor and Patient Bilcorp Medical Billing Services, Inc. is a medical ... read Bilcorp Medical Billing Services reviews & insights
$25 - $49/hr2 - 9San Antonio, United StatesC & S Medical Billing has been providing quality medical billing since our founding in 2008. Our goal is simply to provide the highest return on your claims without sacrificing service or patient support. Preferred Health Resources experienced staff and state-of-the-art billing system will maximize your receivables and let you and your personnel focus on ... read C & S Medical Billing reviews & insights
C & S Medical Billing has been providing quality medical billing since our founding in ... read C & S Medical Billing reviews & insights
NA2 - 9Tampa, United StatesEstablished in 2012, SMB is a medical billing and practice management consulting company committed to delivering healthcare practices unrivaled, tailored services. At SMB, we pride ourselves on being the best partner to handle all back-office functions for health-centered practitioners, allowing them to focus on what matters most to them, treating patients. We dedicate our knowledge ... read SMB reviews & insights
Established in 2012, SMB is a medical billing and practice management consulting company committed to ... read SMB reviews & insights
NA10 - 492012Worthington, United StatesAllegro was founded in 1992 by a computer literate jazz pianist in Tampa Florida named Ward Cook. A friend who owns a small pharmacy in Ward’s neighborhood asked him if he would use his computer expertise to transmit pharmacy claims for Durable Medical Equipment to the Medicare carrier in Jacksonville, Florida. Ward quickly found that ... read Allegro Billing reviews & insights
Allegro was founded in 1992 by a computer literate jazz pianist in Tampa Florida named ... read Allegro Billing reviews & insights
NA2 - 9Tampa, United StatesMedical Billing Systems, Inc. started operations in 1992. Since that time the company has seen continued growth throughout the United States. We are a billing company committed to providing the most efficient, and most economical billing management available.
Medical Billing Systems, Inc. started operations in 1992. Since that time the company has seen ... read Medical Billing Systems reviews & insights
NA10 - 491992Athens, United States360 Medical Billing Solutions was founded in 2000 with headquarters in Oklahoma City. Under the direction of David Windham and Rob Ross, the two co-owners and Vice Presidents, the company has grown exponentially providing services in many states. 360 Medical Billing Solutions provides medical billing specialist services to emergency and urgent care groups throughout the ... read 360 Medical Billing Solutions reviews & insights
360 Medical Billing Solutions was founded in 2000 with headquarters in Oklahoma City. Under the ... read 360 Medical Billing Solutions reviews & insights
NA50 - 2492000Oklahoma City, United StatesAt HBS, we are truly honored to serve over 450 Ohio school districts in the Ohio Medicaid School Program. For over 30 years, we have been providing Medicaid billing services to Ohio providers.Our dedicated staff takes extreme pride in providing excellent service to our clients. We work closely with the Ohio Department of Education and ... read Healthcare Billing Services reviews & insights
At HBS, we are truly honored to serve over 450 Ohio school districts in the ... read Healthcare Billing Services reviews & insights
NA10 - 49Akron, United StatesOrganizations of all sizes and from all healthcare service providers can benefit from medical billing and collections outsourcing, but different companies have different needs. HealthTech Receivables Management understands the healthcare industry we support and what makes them unique. HealthTech Receivables Management specializes in the billing and collections of medical accounts receivables nationwide. HealthTech's executive team ... read HealthTech Receivables Management reviews & insights
Organizations of all sizes and from all healthcare service providers can benefit from medical billing ... read HealthTech Receivables Management reviews & insights
NA2 - 9Tampa, United StatesLocally owned and operated, we pride ourselves on over 20 years experience in the medical billing industry. We have worked on behalf of physicians from all specialties in San Antonio, Texas and the surrounding areas. Delivering the best quality service in the industry, we file and follow-up on on claims to yield the best possible ... read Acclaim Medical Billing reviews & insights
Locally owned and operated, we pride ourselves on over 20 years experience in the medical ... read Acclaim Medical Billing reviews & insights
< $25/hr2 - 9San Antonio, United StatesThrough our highly-trained billing professionals and industry expertise, we ensure a seamless billing process that capitalizes revenue for our clients. We are dedicated to providing our clients and their consumers with value-added, innovative services. From accurate billing summaries to the latest industry-related news and resources, we ensure our clients have access to all the tools ... read Ohio Billing reviews & insights
Through our highly-trained billing professionals and industry expertise, we ensure a seamless billing process that ... read Ohio Billing reviews & insights
NA10 - 49Akron, United StatesIn today’s health care environment it is important to have extensive knowledge and expertise in all aspects of running a practice. Doctors face a growing number of challenges concerning personnel regulations, marketing, billing and coding guidelines and overall management of their practices. In the small and medium practices, it is almost impossible for the physician ... read Cambridge Management Group reviews & insights
In today’s health care environment it is important to have extensive knowledge and expertise in ... read Cambridge Management Group reviews & insights
NA2 - 9Tampa, United StatesBy outsourcing your billing to the right company, you are assured that your hard work will not be overlooked. You will have the full force of an experienced 'on-shore' based billing team that will follow-up on all your claims, and provide you valuable feedback that can be used to better manage your practice.
By outsourcing your billing to the right company, you are assured that your hard work ... read Dynamic Physician Billing reviews & insights
< $25/hr2 - 9San Antonio, United StatesSince 1988, Medical Reimbursement Inc. has offered comprehensive Billing & Receivables Management Services that create superior Coding, Billing, and Collections outcomes for our clients. In addition to those core services we also offer our clients Third-Party Contract Negotiation, Fee Schedule Development & Maintenance, and Credentialing. All services capitalize on Medical Reimbursement's unsurpassed knowledge of the ... read Medical Reimbursement Inc reviews & insights
Since 1988, Medical Reimbursement Inc. has offered comprehensive Billing & Receivables Management Services that create ... read Medical Reimbursement Inc reviews & insights
NA250 - 9991988Cincinnati, United StatesCompMed was founded in 1993 on these core principles: hard work; providing quality education and training for our employees; maintaining cutting edge technology; and ongoing, face-to-face communications with our clients.Most of our success is due to offering the best product on the market, providing the best customer service and hiring employees that are of high ... read Compmed reviews & insights
CompMed was founded in 1993 on these core principles: hard work; providing quality education and ... read Compmed reviews & insights
NA10 - 49Newport, United StatesWe believe that healthcare should be a place where patients feel a sense of safety and tranquility. We help our customers focus more on their patients and employees by taking care of the behind-the-scenes. Our combined 40 years of experience provides us with the necessary tools and resources to execute top of the line results.
We believe that healthcare should be a place where patients feel a sense of safety ... read Modern Medical Billing reviews & insights
$25 - $49/hr2 - 9San Antonio, United StatesWelcome to Bay Medical Billing Services. We are a medical billing and management company located in Palm Harbor, Florida. We service multiple healthcare practices throughout Pinellas County and other counties around Tampa Bay. Outstanding service is at the heart of everything we do. Over the years, we have earned a reputation for excellence in the ... read Bay Medical Billing Services reviews & insights
Welcome to Bay Medical Billing Services. We are a medical billing and management company located ... read Bay Medical Billing Services reviews & insights
NA2 - 9Palm Harbor, United StatesFounded in 1993, our Cincinnati–based company is owned and operated by retired Cincinnati firefighter, Joseph D. Newcomb, and his family. The key to our success over the past 26 years has been our uncompromising commitment to helping the communities we serve, thrive and prosper. Unlike many of our competitors, we are 100% focused on the ... read Medicount reviews & insights
Founded in 1993, our Cincinnati–based company is owned and operated by retired Cincinnati firefighter, Joseph ... read Medicount reviews & insights
NA10 - 491993Cincinnati, United StatesOur company mission is to serve medical practices and facilities with excellence and integrity by providing critical support services which make it possible for our clients to achieve their optimal effectiveness in their core business activities.
Our company mission is to serve medical practices and facilities with excellence and integrity by ... read Physicians Business Group reviews & insights
NA2 - 9Tampa, United StatesNetmark Services Provide RCM services to Global health care organizations. Netmark provides impeccable revenue cycle management solutions to health care facilities and providers across the world since 2011. Netmark has an efficient team of trained and seasoned billing professionals with vast experience in dealing with the medical billing related issues for all medical specialties. Every ... read Netmark reviews & insights
Netmark Services Provide RCM services to Global health care organizations. Netmark provides impeccable revenue cycle ... read Netmark reviews & insights
NA10 - 492011Cincinnati, United StatesIdeal Medical Solutions is a medical billing service specializing in chiropractic, physical therapy, and acupuncture billing. We submit bills to all commercial and government payors as well as personal injury (PIP) carriers.
Ideal Medical Solutions is a medical billing service specializing in chiropractic, physical therapy, and acupuncture ... read Ideal Medical Solutions reviews & insights
< $25/hr2 - 92009Tampa, United StatesImagine increasing the efficiency of your practice and enhancing your cash flow while knowing the exact financial condition of your practice. Designed by physicians to think like you do. Customizable to match your workflow. Expand your patient base and increase revenue streams by becoming an in-network provider with more insurance payers.
Imagine increasing the efficiency of your practice and enhancing your cash flow while knowing the ... read Level Medical Billing reviews & insights
NA10 - 49Lewis Center, United StatesPsyquel is your total solution for mental health billing. We offer web-based practice mgmt software up to full service billing. Our mission is to facilitate the healing work of mental health providers by increasing their financial profitability, personal freedom and information security with the Psyquel web-based software/mental health billing service. We offer a full range ... read Psyquel reviews & insights
Psyquel is your total solution for mental health billing. We offer web-based practice mgmt software ... read Psyquel reviews & insights
$25 - $49/hr2 - 9San Antonio, United StatesEMS has decades of industry experience, strong billing and coding specialists, wonderful clients, and a distinguished reputation for providing excellent services to our physicians. We collect 100% of all that is allowable as efficiently and quickly as possible. EMS delivers actionable intelligence to improve revenue and lower expenses and we provide exceptional and compelling customer ... read Emotive Medical Solutions reviews & insights
EMS has decades of industry experience, strong billing and coding specialists, wonderful clients, and a ... read Emotive Medical Solutions reviews & insights
NA2 - 9Tampa, United StatesHeadquartered in Baltimore, MD, MedHelp, Inc. provides superior revenue cycle management solutions for all physician practice specialties, urgent care centers, skilled nursing facilities, substance abuse/behavioral health clinics and hospitals. Solutions include Medical and fee-for-service Billing. Facility solutions include Pro-Fee Billing , Credentialing and Emergency Department EMTALA Recovery services. MedHelp, Inc. brings a fresh and innovative ... read Medhelp reviews & insights
Headquartered in Baltimore, MD, MedHelp, Inc. provides superior revenue cycle management solutions for all physician ... read Medhelp reviews & insights
NA10 - 491992Baltimore, United StatesIndex Solutions provides professional, expert medical billing for medical practices. Index Solutions offers collection and administrative services for medical practitioners as well. Whether you require complete turnkey billing services from start to finish, or just need temporary staffing, our experienced medical billing and collection team is sure to impress you.Located in Texas State, our medical ... read Index Solutions reviews & insights
Index Solutions provides professional, expert medical billing for medical practices. Index Solutions offers collection and ... read Index Solutions reviews & insights
NA10 - 49Katy, United StatesPremier Practice Solutions, LLC is a medical billing and practice management company based in San Antonio, Texas, serving doctors and other medical professionals. Our mission is to give you the freedom to focus on delivering quality patient care by providing professional revenue cycle management services that are timely, accurate, reliable, cost effective, and confidential. We ... read Premier Practice Solutions reviews & insights
Premier Practice Solutions, LLC is a medical billing and practice management company based in San ... read Premier Practice Solutions reviews & insights
< $25/hr2 - 9San Antonio, United StatesIn addition to excellent medical billing services, the client gains confidential and unlimited personal access to Peter Melencio, CPA, and CPM’s elite senior staff to address medical billing and patient and insurance issues and problems. We address the client’s individualized needs with care, consideration, and attention, just like you treat your patients. CPM has a ... read CPM reviews & insights
In addition to excellent medical billing services, the client gains confidential and unlimited personal access ... read CPM reviews & insights
NA50 - 249Framingham, United StatesNCDS is more than a third-party medical billing service; we are a family-owned and privately-owned RCM company that combines experience and technology with an individualized, business approach to billing and revenue cycle needs. Since 1985, NCDS has been automating and improving the efficiency of onsite office processes, billing practices and accounts receivable collections for our ... read NCDS reviews & insights
NCDS is more than a third-party medical billing service; we are a family-owned and privately-owned ... read NCDS reviews & insights
NA10 - 491985Strongsville, United StatesGreat Lakes Billing Associates is a medical billing service specializing in ambulance billing for Ohio townships and municipalities. We strive to provide this service in the most effective and efficient manner to help EMS providers attain the financial strength necessary to fund state-of-the-art systems. Drawing on 20 years of experience in the ambulance industry, we ... read Great Lakes Billing reviews & insights
Great Lakes Billing Associates is a medical billing service specializing in ambulance billing for Ohio ... read Great Lakes Billing reviews & insights
NA10 - 49Cleveland, United StatesCapital Billing Services is a leader in Healthcare and revenue cycle management. With over 30 years of Healthcare experience, Capital Billing Services brings together a team of highly trained RCM and Credentialing experts with a core purpose of Making Healthcare Affordable by streamlining and simplifying Revenue Cycle Management. Capital Billing Services was established in 2008 ... read Capital Billing Services reviews & insights
Capital Billing Services is a leader in Healthcare and revenue cycle management. With over 30 ... read Capital Billing Services reviews & insights
NA50 - 249Atlanta, United StatesWe will never attempt to collect more than is permissible by law. We have advanced technology systems in place to follow-up on claims with the exact documentation that is required. Our highly trained and experienced medical billers strictly adhere to the Telephone Consumer Protection Act (TCPA), and HIPAA medical privacy laws. This reduces complaints, maintains ... read Medhealth Billing Services reviews & insights
We will never attempt to collect more than is permissible by law. We have advanced ... read Medhealth Billing Services reviews & insights
NA50 - 249Miami, United StatesNational Statistics show that electronic claims turnaround should be no longer than 30 days. If a practice has not received payment on an electronic claim that’s 30 days or less, 95% of the time there is an error on the claim. Here at PMB we will take charge of our new clients dealing with claims ... read Prime Medical Billing reviews & insights
National Statistics show that electronic claims turnaround should be no longer than 30 days. If ... read Prime Medical Billing reviews & insights
NA10 - 492015Atlanta, United StatesGlobal Healthcare Resource is a full service healthcare solutions firm focused on maximizing return on investment, increasing revenues and improving productivity for our valued clients. We do this by providing cost-effective business solutions for U.S. healthcare providers and billing companies. Our philosophy is founded on service, training and transparency. We strive to deliver personalized, flexible ... read Global Healthcare Resource reviews & insights
Global Healthcare Resource is a full service healthcare solutions firm focused on maximizing return on ... read Global Healthcare Resource reviews & insights
NA1,000 - 9,9991999Atlanta, United StatesWe are dedicated to providing medical billing services of the highest quality. Our mission is to reduce claim errors, decrease turn-around time on payments, increase reimbursement of claims, and to make sure each client is completely satisfied with our services. We accomplish this by providing superior customer service, personalized solutions, and medical expertise to maximize ... read M-Scribe reviews & insights
We are dedicated to providing medical billing services of the highest quality. Our mission is ... read M-Scribe reviews & insights
NA10 - 492002Atlanta, United StatesPracticefirst is a leader in billing, credentialing, coding, compliance, chart auditing, bookkeeping and tax preparation. A privately-owned and locally-managed company, we serve clients across the country. Practicefirst has experienced long-term client relationships and growth by meeting our mission of maximizing the value of our clients’ medical practices and living our core values of integrity, trust, ... read Practice first reviews & insights
Practicefirst is a leader in billing, credentialing, coding, compliance, chart auditing, bookkeeping and tax preparation. ... read Practice first reviews & insights
$25 - $49/hr10 - 49Buffalo, United States
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Strong execution but broader service mix. High-quality generalists - good fit if your project crosses multiple disciplines in one engagement.
Top 5 by composite score
1Belkins48 / 52Deeply specialised but with moderate market presence. Often the right pick when specialisation matters more than scale - boutique shops with deep technical chops.
Newer entrants and smaller boutiques. Higher risk but often the best price-performance - particularly for early-stage startups or non-mission-critical projects.
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