Top BPO Companies in the USA

Researched by:Goodfirms Research TeamUpdated:September 29, 2026

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 6,245+ 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.

Rank
Company
Rating
Reviews
Hourly Rate
Team Size
Founded
Location
Action

Here are the Top BPO Companies in the USA

Find a BPO Services Company Near you
Find a BPO Services Company Near you
Service
Hourly Rate
Employees
ReviewsAll Companies
Industry
Client Type
  • eBridge RCM LLC is a leading medical billing and coding company based in New York, providing end-to-end Revenue Cycle Management (RCM) services to healthcare providers, home health agencies, hospitals, clinics, and specialty care centres across the United States.

    eBridge RCM LLC is a leading medical billing and coding company based in New York, ... read eBridge RCM reviews & insights

    $25 - $49/hr
    10 - 49
    2020
    American Canyon, United States
  • Brevity connects agencies with skilled virtual assistants specializing in marketing, sales, and a wide range of supporting tasks. We provide dedicated talent to help agencies of all kinds streamline operations, enhance productivity, and drive sustainable growth.

    Brevity connects agencies with skilled virtual assistants specializing in marketing, sales, and a wide range ... read Brevity reviews & insights

    < $25/hr
    10 - 49
    2025
    Atlanta, United States
  • At Velan outsourcing services, our goal is to revolutionalize productivity by offering excellent Back-office support services targeted for clients worldwide. We have assembled a team of qualified and professional virtual assistants whose aim is to assist you in achieving your targets in a timely manner. Over the years, we have gained more than 19 years ... read Velan VirtualAssistants reviews & insights

    At Velan outsourcing services, our goal is to revolutionalize productivity by offering excellent Back-office support ... read Velan VirtualAssistants reviews & insights

    < $25/hr
    250 - 999
    2011
    Dover, United States
  • Permits Pipeline is the first sales grwoth partner built exclusively for Permit Expediters. We combine strategic outreach, behavioral follow-up techniques, and data-driven systems to turn interest into booked meetings and closed contracts. Our done-for-you sales process removes the stress of chasing leads — keeping your pipeline full, predictable, and growing while you focus on the ... read Permits Pipeline reviews & insights

    Permits Pipeline is the first sales grwoth partner built exclusively for Permit Expediters. We combine ... read Permits Pipeline reviews & insights

    $25 - $49/hr
    2 - 9
    2025
    Hollywood, United States
  • At Health & Billing, we bring decades of expertise in healthcare management, revenue cycle optimization, and innovative medical billing solutions. Founded by Usman Ezad, a recognized leader in the healthcare field, our company emerged from years of hands-on experience in Health and Psychiatry, one of Florida’s largest and most successful psychiatry groups. By mastering daily ... read Health and Billing reviews & insights

    At Health & Billing, we bring decades of expertise in healthcare management, revenue cycle optimization, ... read Health and Billing reviews & insights

    NA
    10 - 49
    2025
    Oldsmar, United States
  • New York Medical Billing Services Group in NY by BellMedEx New York Medical Billing Services Group by BellMedEx helps healthcare providers get paid faster and more accurately. We manage billing, coding, revenue cycle, and credentialing so your team can stay focused on patient care. From eligibility checks to claim submission and payment posting, every step ... read BellMedEx reviews & insights

    New York Medical Billing Services Group in NY by BellMedEx New York Medical Billing Services ... read BellMedEx reviews & insights

    < $25/hr
    1,000 - 9,999
    2016
    Renton, United States
  • Medi-EMR/EHR is offered as a SaaS (Software as a Service), or otherwise known as a web based model. Medi-EMR/EHR is a next-generation technology built on the robust Oracle 11g database which means that you can save money, time and can perform all tasks efficiently. Using this leading technology, an electronic version of a patients’ medical ... read Medi EHR reviews & insights

    Medi-EMR/EHR is offered as a SaaS (Software as a Service), or otherwise known as a ... read Medi EHR reviews & insights

    $50 - $99/hr
    10 - 49
    2018
    Jersey City, United States
  • Premier Revenue Care Partners (PRCPMD) is a Texas-based healthcare revenue-cycle management firm that helps clinics, hospitals, and private practices increase reimbursements, cut claim denials, and stay compliant with payer and HIPAA requirements. We provide medical billing, credentialing, denial management, and revenue analytics through a U.S.-based team of certified billing experts who use secure, HIPAA-compliant processes ... read Premier Revenue Care Partners reviews & insights

    Premier Revenue Care Partners (PRCPMD) is a Texas-based healthcare revenue-cycle management firm that helps clinics, ... read Premier Revenue Care Partners reviews & insights

    $25 - $49/hr
    10 - 49
    2025
    Texas City, United States
  • Med Bridge LLC is a trusted medical billing and healthcare management company dedicated to helping healthcare providers simplify their financial operations. We specialize in medical billing services, A/R recovery, provider credentialing, front office management, and revenue cycle optimization , ensuring your practice gets paid faster and more accurately.

    Med Bridge LLC is a trusted medical billing and healthcare management company dedicated to helping ... read Med Bridge LLC reviews & insights

    NA
    250 - 999
    2003
    Florida City, United States
  • At Mastermind Healthcare RCM Tactics, we specialize in delivering advanced Revenue Cycle Management (RCM) solutions designed to optimize the financial operations of healthcare providers. With a focus on accuracy, efficiency, and compliance, we help medical practices, clinics, and hospitals streamline their billing processes, reduce claim denials, and accelerate reimbursements. Our team of experts works with ... read Mastermind Healthcare RCM Tactics reviews & insights

    At Mastermind Healthcare RCM Tactics, we specialize in delivering advanced Revenue Cycle Management (RCM) solutions ... read Mastermind Healthcare RCM Tactics reviews & insights

    NA
    50 - 249
    2000
    Jersey City, United States
  • We are a leading **medical billing company USA**, providing **precise medical** solutions for practices of all sizes and specialties. Our mission is to transform your **revenue cycle management** from a challenge into your greatest strength.

    We are a leading **medical billing company USA**, providing **precise medical** solutions for practices of ... read A2Z Billings reviews & insights

    $25 - $49/hr
    10 - 49
    2015
    Michigan City, United States
  • USA MedWorks is a physician-owned medical billing and revenue cycle management company that provides billing solutions to healthcare providers in over 50 specialties. Located in Jacksonville, Florida, the company offers services including coding, claims management, patient billing, credentialing, and denial management, aiming to improve efficiency, accuracy, and financial performance for practices nationwide.

    USA MedWorks is a physician-owned medical billing and revenue cycle management company that provides billing ... read USA MedWorks LLC reviews & insights

    $25 - $49/hr
    50 - 249
    2022
    Jacksonville, United States
  • Dr biller RCM provides nationwide medical billing and revenue cycle management (RCM) services tailored for healthcare providers of all sizes. Our solutions cover claim submission, coding, credentialing, denial management, and A/R follow-up to ensure faster reimbursements and reduced revenue loss. We combine 100% HIPAA compliance with advanced billing technology to deliver accuracy, transparency, and efficiency. ... read Dr biller RCM reviews & insights

    Dr biller RCM provides nationwide medical billing and revenue cycle management (RCM) services tailored for ... read Dr biller RCM reviews & insights

    < $25/hr
    50 - 249
    2020
    Austin, United States
  • Xceed Billing Solutions is a reliable and experienced provider of professional medical billing services across the USA, dedicated to helping healthcare practices enhance their revenue cycle performance. Headquartered in Houston, TX, our expert team delivers precise claims submission, thorough insurance follow-ups, accurate coding, and patient billing services. We partner with physicians, clinics, and specialty providers ... read Xceed Billing Solutions reviews & insights

    Xceed Billing Solutions is a reliable and experienced provider of professional medical billing services across ... read Xceed Billing Solutions reviews & insights

    < $25/hr
    10 - 49
    2020
    Houston, United States
  • CapitalMed Solutions is a leading medical billing company in the USA, dedicated to providing streamlined healthcare support services to providers nationwide. Located at 77 Sugar Creek Center Blvd, Ste 600, Sugar Land, TX 77478, we specialize in medical billing and coding, credentialing, virtual assistant solutions, and patient support. Our mission is to alleviate administrative burdens ... read CapitalMed Solutions reviews & insights

    CapitalMed Solutions is a leading medical billing company in the USA, dedicated to providing streamlined ... read CapitalMed Solutions reviews & insights

    < $25/hr
    10 - 49
    2019
    Sugar Land, United States
  • At Uptown Creation we know you're the kind of sales leader who wants to be known for driving new revenue. In order to make a meaningful impact, you need to enable your sales team to create opportunities and close new deals. The problem is that it's hard for most sales teams to cut through the ... read Uptown Creation reviews & insights

    At Uptown Creation we know you're the kind of sales leader who wants to be ... read Uptown Creation reviews & insights

    < $25/hr
    10 - 49
    2016
    Iowa City, United States
  • Cloud Sourcing is a new place to find programmers and designers for your next project. Its a smart matching platform that matches professionals to projects. Providers are by invite only. Projects are paid. And this is a work in progress. We are in soft launch mode.

    Cloud Sourcing is a new place to find programmers and designers for your next project. ... read CloudSourcing reviews & insights

    < $25/hr
    2 - 9
    2007
    NYC, United States
  • Connexus Cure is an end-to-end Revenue Cycle Management (RCM) partner dedicated to optimizing the financial health of healthcare providers across the United States. Our certified billing experts manage your entire revenue cycle from performing Real-Time Eligibility (RTE) checks and submitting clean claims via ANSI 837P/I standards, to using Auto-Posting for swift payment reconciliation and Denial ... read Connexus Cure reviews & insights

    Connexus Cure is an end-to-end Revenue Cycle Management (RCM) partner dedicated to optimizing the financial ... read Connexus Cure reviews & insights

    NA
    2 - 9
    2021
    Jersey City, United States
  • Paymedics is an all-in-one AI-Powered and Physician-owned Medical Billing Company. We don’t just handle billing stuff; we are here to make our clients’ everyday work lives easy. We, as experts, understand the complexities and complications that come with managing a medical practice.

    Paymedics is an all-in-one AI-Powered and Physician-owned Medical Billing Company. We don’t just handle billing ... read Paymedics reviews & insights

    $25 - $49/hr
    50 - 249
    2022
    Sheridan, United States
  • EZMed Professionals was founded by a team of veteran healthcare administrators and billing specialists who observed a critical gap in the industry. We saw countless talented medical providers burdened by the ever-increasing complexities of billing, credentialing, and payer regulations. Their focus was being pulled away from patient care and toward administrative fires, while impersonal, large-scale ... read EZ Med Professionals reviews & insights

    EZMed Professionals was founded by a team of veteran healthcare administrators and billing specialists who ... read EZ Med Professionals reviews & insights

    NA
    10 - 49
    2020
    Minneapolis, United States
  • We provide an unparalleled experience as the most trusted partner for clinicians; aiming to be the most trusted partner of choice. Our missions is to take away your headaches, provide quality services at a moderate rates, lesser than market rates, optimize your cash §ow, collect faster payments with better insight and make your practice paper ... read Aspect Billing Solutions reviews & insights

    We provide an unparalleled experience as the most trusted partner for clinicians; aiming to be ... read Aspect Billing Solutions reviews & insights

    NA
    10 - 49
    2021
    Delaware, United States
  • RK Med Pro is a leading provider of end-to-end medical billing and revenue cycle management (RCM) solutions, dedicated to empowering healthcare providers across the United States. We specialize in optimizing financial performance for clinics, hospitals, and private practices through accurate, compliant, and technology-driven processes. Our Core Services Medical Billing & Coding – Accurate CPT, ICD-10, ... read RK MED PRO reviews & insights

    RK Med Pro is a leading provider of end-to-end medical billing and revenue cycle management ... read RK MED PRO reviews & insights

    < $25/hr
    2 - 9
    2014
    Mexico, United States
  • Ascend RCM specializes in comprehensive medical billing solutions designed to streamline your practice’s revenue cycle. Our team of certified professionals ensures accurate coding, timely claim submissions, and diligent follow-ups, maximizing your reimbursements and reducing administrative burdens. By leveraging advanced technology and adhering to industry best practices, we empower healthcare providers to focus on delivering exceptional ... read Ascend RCM reviews & insights

    Ascend RCM specializes in comprehensive medical billing solutions designed to streamline your practice’s revenue cycle. ... read Ascend RCM reviews & insights

    $50 - $99/hr
    50 - 249
    2023
    Sacramento, United States
  • At Crazy Merchants, we simplify payments for businesses of all kinds. Our mission is to provide secure, reliable, and efficient payment processing solutions and gateways that empower businesses to focus on growth, not financial friction. With years of experience in payment processing and high-risk industries, we specialize in customized solutions for startups, e-commerce platforms, service ... read Crazy Merchants reviews & insights

    At Crazy Merchants, we simplify payments for businesses of all kinds. Our mission is to ... read Crazy Merchants reviews & insights

    $100 - $149/hr
    10 - 49
    2023
    Texas City, United States
  • Founded with a vision to revolutionize medical billing, MedIntelix Global emerged from recognizing the growing need for efficient, accurate, and reliable RCM services for small clinics and independent labs. Our mission is simple yet powerful: to ignite breakthroughs in HIPAA-compliant medical billing that empower healthcare providers to focus on what they do best – caring ... read Medintelix Global reviews & insights

    Founded with a vision to revolutionize medical billing, MedIntelix Global emerged from recognizing the growing ... read Medintelix Global reviews & insights

    < $25/hr
    2 - 9
    2025
    Sheridan, United States
  • Wise Medical Billing's expertise lies in end-to-end revenue cycle management (RCM), providing comprehensive, HIPAA-compliant medical billing and coding services across numerous specialties, including internal medicine, pathology, urgent care, and more. Their core capabilities are rooted in a team with over 20 years of experience who leverage advanced technology to ensure a high clean claim rate ... read Wise Medical Billing LLC reviews & insights

    Wise Medical Billing's expertise lies in end-to-end revenue cycle management (RCM), providing comprehensive, HIPAA-compliant medical ... read Wise Medical Billing LLC reviews & insights

    $100 - $149/hr
    10 - 49
    2022
    Newark, United States
  • Alloyed is a global operations partner that fuses human expertise, AI-enabled automation, and proven process design to help businesses run faster, scale smarter, be more flexible, and perform at a higher level. Built on two decades of delivery experience, Alloyed’s global delivery teams and onshore client leadership are embedded into clients’ operations, bringing governance, real-time ... read Alloyed reviews & insights

    Alloyed is a global operations partner that fuses human expertise, AI-enabled automation, and proven process ... read Alloyed reviews & insights

    NA
    1,000 - 9,999
    2006
    Jersey City, United States
  • Iterum Connections is a full-service business process outsourcing (BPO) and customer experience (CX) provider with nearshore operations to the U.S. Iterum’s inbound and outbound call/contact center services include customer and patient support, collections, fraud prevention, GDS management, and many other forms of back-office support. Iterum serves a variety of industries, with special expertise serving health ... read Iterum Connections reviews & insights

    Iterum Connections is a full-service business process outsourcing (BPO) and customer experience (CX) provider with ... read Iterum Connections reviews & insights

    NA
    1,000 - 9,999
    2019
    Miami, United States
  • We're passionate about helping businesses grow by connecting them with high-quality, confirmed appointments. Our mission is simple: to take the stress out of lead generation and appointment setting, so you can focus on growing your business. With a team of expert appointment setters, we ensure that every opportunity we offer is aligned with your business ... read Zoom On Sales reviews & insights

    We're passionate about helping businesses grow by connecting them with high-quality, confirmed appointments. Our mission ... read Zoom On Sales reviews & insights

    < $25/hr
    10 - 49
    2019
    Santa Fe, United States
  • We specialize in providing comprehensive medical billing services tailored to healthcare providers in New Jersey, New York City, and Pennsylvania. With a commitment to accuracy and efficiency, our team of experts ensures that your billing processes are streamlined, maximizing revenue while minimizing administrative burdens. Our extensive range of services includes Medical Billing, Medical Coding, Patient ... read MediBilling Company reviews & insights

    We specialize in providing comprehensive medical billing services tailored to healthcare providers in New Jersey, ... read MediBilling Company reviews & insights

    NA
    10 - 49
    2015
    Jersey City, United States
  • MDBC Pro: Your Trusted Partner for Efficient Medical Billing and End-to-End RCM Services With Innovative Healthcare Technology. Are you seeking comprehensive Revenue Cycle Management (RCM) solutions that deliver unmatched expertise without the hefty price tag? MDBC PRO is your trusted partner, providing top-tier medical billing services at rates starting as low as 3.5% of your ... read MDBC Pro reviews & insights

    MDBC Pro: Your Trusted Partner for Efficient Medical Billing and End-to-End RCM Services With Innovative ... read MDBC Pro reviews & insights

    < $25/hr
    50 - 249
    2015
    Miami, United States
  • MedReck BPM Services LLC is a dedicated Revenue Cycle Management partner committed to supporting healthcare providers with accurate, reliable, and seamless billing operations. We specialize exclusively in RCM and medical billing services that help clinics, group practices, and healthcare organizations across the United States maintain financial stability and optimize their reimbursement cycle. Our team is ... read MedReck BPM Services LLC reviews & insights

    MedReck BPM Services LLC is a dedicated Revenue Cycle Management partner committed to supporting healthcare ... read MedReck BPM Services LLC reviews & insights

    < $25/hr
    10 - 49
    2020
    Lewes, United States
  • Paival LLC, is a Call Solutions delivers multilingual customer support across English, French, Spanish, and Creole with measurable results — including CSAT scores averaging 90–95%, first-response times under 60 minutes, and phone answer rates consistently above 90%. Our teams operate from certified nearshore talent hubs across the Caribbean and Latin America, following structured SOPs, QA ... read Paival Solutions reviews & insights

    Paival LLC, is a Call Solutions delivers multilingual customer support across English, French, Spanish, and ... read Paival Solutions reviews & insights

    NA
    50 - 249
    2025
    Lexington, United States
  • PractiAssist was created with one clear mission: to help healthcare providers reclaim their time, reduce administrative burden, and run smoother, more efficient practices through reliable virtual support. We specialize in HIPAA-compliant virtual medical assistant services designed specifically for healthcare professionals, including therapists, clinics, private practices, and medical offices across the United States. Our team understands ... read PractiAssist reviews & insights

    PractiAssist was created with one clear mission: to help healthcare providers reclaim their time, reduce ... read PractiAssist reviews & insights

    < $25/hr
    2 - 9
    2024
    Sheridan, United States
  • Using AI Tools

    • ChatGPTChatGPT

    Hello MDs specializes in healthcare revenue cycle management, offering customized medical billing solutions and expert revenue optimization services to maximize practice earnings. Our skilled professionals ensure accurate claims processing, synchronised patient data, and comprehensive reporting for efficient and seamless healthcare operations.

    Hello MDs specializes in healthcare revenue cycle management, offering customized medical billing solutions and expert ... read HelloMDs Medical Billing Company reviews & insights

    < $25/hr
    50 - 249
    2018
    Dallas, United States

    Why HelloMDs Medical Billing Company?

    • AAPC certified professionals
    • Clean claims to denial management
    • Dedicated support, clear reporting, and reliable c
  • Empowering Healthcare Practices for Success The name Medikigai stems from the Japanese concept of “Ikigai,” meaning “a reason for being.” At Medikigai, we embrace this philosophy, dedicating ourselves to helping healthcare practices find their balance—where operational efficiency, financial growth, and patient care intersect. Our mission is to simplify the complexities of healthcare administration, so you ... read Medikigai India Pvt Limited reviews & insights

    Empowering Healthcare Practices for Success The name Medikigai stems from the Japanese concept of “Ikigai,” ... read Medikigai India Pvt Limited reviews & insights

    $25 - $49/hr
    50 - 249
    2020
    Nashville, United States
  • EdgeNova provides dedicated, highly-trained virtual assistants who manage everyday business tasks — from admin and data management to sales, marketing, eCommerce, real-estate support, bookkeeping, customer support and social-media management. Their VAs work 24/7, and include a free onboarding (“Kickstart”) programme to set up workflows and tools for smooth collaboration. EdgeNova pitches this as a way ... read Edge Nova reviews & insights

    EdgeNova provides dedicated, highly-trained virtual assistants who manage everyday business tasks — from admin and ... read Edge Nova reviews & insights

    $25 - $49/hr
    50 - 249
    2003
    Minneapolis, United States
  • LezDo TechMed is a leading medical record review company serving the legal, insurance, and healthcare industries. The company specializes in accurate medical summaries, medical chronologies, and record analysis. LezDo TechMed helps attorneys and insurers understand complex medical data with clarity. Their expert team ensures timely, precise, and reliable deliverables. They are committed to supporting informed ... read LezDo TechMed LLC reviews & insights

    LezDo TechMed is a leading medical record review company serving the legal, insurance, and healthcare ... read LezDo TechMed LLC reviews & insights

    $150 - $199/hr
    50 - 249
    2019
    Encino, United States
  • OMAXRCM – Medical Billing & Revenue Cycle Management OMAXRCM is a trusted medical billing and revenue cycle management company helping healthcare practices across the U.S. optimize reimbursements, reduce administrative costs, and improve cash flow. We specialize in handling billing for multiple medical specialties, including family medicine, cardiology, internal medicine, pediatrics, behavioral health, pain management, urgent ... read OMAXRCM reviews & insights

    OMAXRCM – Medical Billing & Revenue Cycle Management OMAXRCM is a trusted medical billing and ... read OMAXRCM reviews & insights

    NA
    10 - 49
    2025
    Saint Petersburg, United States
  • Welcome to AlterMed RCM, where innovation meets excellence in healthcare revenue management. As a trusted name in the industry, we take pride in delivering precision and efficiency to your medical billing, coding, credentialing, and consulting needs. Our team of highly skilled professionals is dedicated to provide quality services at affordable pricing. We understand the intricacies ... read Altermed RCM reviews & insights

    Welcome to AlterMed RCM, where innovation meets excellence in healthcare revenue management. As a trusted ... read Altermed RCM reviews & insights

    $25 - $49/hr
    250 - 999
    2002
    Jersey City, United States
  • At A3 Medical Billing, we take the stress out of medical billing for doctors, clinics, and hospitals across the US. By managing the complete revenue cycle, we ensure faster reimbursements, fewer denials, and healthier cash flow—so you can focus on what matters most: patient care. Our dedicated team combines industry expertise with transparent processes to ... read A3 Medical Billing Services, LLC reviews & insights

    At A3 Medical Billing, we take the stress out of medical billing for doctors, clinics, ... read A3 Medical Billing Services, LLC reviews & insights

    < $25/hr
    250 - 999
    2000
    Fargo, United States
  • HBS Healthcare Billing is a trusted medical billing and revenue cycle management company dedicated to helping healthcare providers improve financial performance and operational efficiency. We offer end-to-end billing solutions including medical coding, claims submission, payment posting, denial management, and follow-up services. Our experienced team works with practices of all sizes and specialties, ensuring accuracy, compliance, ... read Healthcare Billing Services Company reviews & insights

    HBS Healthcare Billing is a trusted medical billing and revenue cycle management company dedicated to ... read Healthcare Billing Services Company reviews & insights

    $100 - $149/hr
    10 - 49
    2015
    Maryland Heights, United States
  • Synchura Solutions is a premier hospitality support agency specializing in 24/7 guest engagement and revenue optimization for the US hotel industry. We act as a dedicated, virtual extension of a hotel’s front-desk team, focusing on two critical goals: improving guest satisfaction and increasing direct booking revenue. What We Do: 24/7 Guest Support: We provide round-the-clock ... read Synchura Solutions reviews & insights

    Synchura Solutions is a premier hospitality support agency specializing in 24/7 guest engagement and revenue ... read Synchura Solutions reviews & insights

    < $25/hr
    2 - 9
    2025
    Philadelphia, United States
  • Welcome to Expeditious Medical Billing, a trusted provider of comprehensive medical billing and healthcare management solutions in the USA. With a commitment to excellence, precision, and client satisfaction, we empower healthcare providers to focus on delivering quality patient care while we handle the complexities of revenue cycle management. Founded on the principles of accuracy, efficiency, ... read Expeditious Medical Billing reviews & insights

    Welcome to Expeditious Medical Billing, a trusted provider of comprehensive medical billing and healthcare management ... read Expeditious Medical Billing reviews & insights

    < $25/hr
    10 - 49
    2025
    Richmond, United States
  • Emarketnow is a B2B lead generation platform that allows you to customize contact lists for any U.S. industry and location. Instead of sending a stale database export, Emarketnow builds each list when you order and verifies every record with a real person at the time of delivery. That extra layer of review reduces email bounces, ... read Emarketnow reviews & insights

    Emarketnow is a B2B lead generation platform that allows you to customize contact lists for ... read Emarketnow reviews & insights

    NA
    2 - 9
    2014
    Somerset County, United States
  • Optima Data is a US-based data and lead delivery company providing fast, accurate, and fully integrated lead infrastructure for sales-driven organizations across the United States. Built for speed, reliability, and scale, Optima Data helps businesses eliminate delays in lead sourcing, verification, and routing so sales teams can focus on closing deals faster. Optima Data specializes ... read Optima Data reviews & insights

    Optima Data is a US-based data and lead delivery company providing fast, accurate, and fully ... read Optima Data reviews & insights

    < $25/hr
    2 - 9
    2025
    NYC, United States
  • Lion Reach Media is a global B2B demand generation and lead-generation agency that helps technology-focused companies grow by connecting them with high-quality prospects and decision-makers. The agency combines data-driven strategies, advanced intent data, and precision-targeted outreach to deliver measurable results for clients across industries.

    Lion Reach Media is a global B2B demand generation and lead-generation agency that helps technology-focused ... read Lion Reach Media reviews & insights

    $300+/hr
    50 - 249
    2022
    Houston, United States
  • MediDoc Care MD is a US focused medical billing and revenue cycle management (RCM) company helping healthcare providers improve cash flow, reduce claim denials, and stay fully compliant with payer and regulatory requirements. We specialize in end-to-end medical billing services for physicians, clinics, group practices, and behavioral health providers across the United States. Our certified ... read MediDoc Care MD reviews & insights

    MediDoc Care MD is a US focused medical billing and revenue cycle management (RCM) company ... read MediDoc Care MD reviews & insights

    < $25/hr
    1,000 - 9,999
    2016
    Saint Petersburg, United States

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Eligibility floor: ≥ 1 published review in this category scope

Where the firms are.

Bubble size shows how many firms each country has; colour shows its average hourly rate. Tap any country for its firm count, average rate, rating, and Value Score.

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All states ranked by Value Score.

Every state in scope, ranked by Value Score.

StateFirmsAvg RateAvg RatingValue ScoreAction
USArizona81$33/hr585View firms
USNew York181$38/hr585View firms
USLouisiana25$30/hr583View firms
USOregon24$35/hr582View firms
USDelaware55$40/hr582View firms
USIllinois97$36/hr4.982View firms
USVirginia54$43/hr581View firms
USWashington76$52/hr580View firms
USMissouri59$40/hr4.980View firms
USGeorgia74$52/hr580View firms
USMontana5$33/hr580View firms
USMassachusetts49$51/hr579View firms
USCalifornia370$44/hr4.779View firms
USUtah38$51/hr579View firms
USKansas24$47/hr579View firms
USFlorida238$45/hr4.778View firms
USWyoming50$50/hr4.978View firms
USTexas280$51/hr4.777View firms
USKentucky21$50/hr4.976View firms
USTennessee41$29/hr-76View firms
USNew Jersey91$42/hr4.675View firms
USWisconsin32$32/hr-74View firms
USIdaho9$25/hr-74View firms
USIowa11$25/hr-74View firms
USMaryland53$38/hr-73View firms
USArkansas15$30/hr-73View firms
USMaine11$30/hr-72View firms
USNew Mexico21$35/hr-72View firms
USConnecticut36$39/hr-72View firms
USNebraska34$41/hr-71View firms
USOhio84$47/hr-71View firms
USOklahoma27$40/hr-71View firms
USNorth Carolina56$49/hr4.571View firms
USMinnesota49$45/hr-70View firms
USMississippi2$25/hr-70View firms
USHawaii2$25/hr-70View firms
USAlaska1$25/hr-69View firms
USIndiana40$54/hr-66View firms
USRhode Island6$44/hr-65View firms
USSouth Carolina18$57/hr-63View firms
USWashington DC14$56/hr-63View firms
USNevada57$37/hr3.862View firms
USMichigan78$33/hr3.762View firms
USAlabama8$57/hr-61View firms
USPennsylvania83$41/hr3.658View firms
USColorado79$38/hr3.353View firms
USNorth Dakota5$25/hr2.847View firms
USNew Hampshire4$125/hr-33View firms
USOntario1--8View firms
USArizona
81 firms$33/hr5
Value Score85 / 100
USNew York
181 firms$38/hr5
Value Score85 / 100
USLouisiana
25 firms$30/hr5
Value Score83 / 100
USOregon
24 firms$35/hr5
Value Score82 / 100
USDelaware
55 firms$40/hr5
Value Score82 / 100
USIllinois
97 firms$36/hr4.9
Value Score82 / 100
USVirginia
54 firms$43/hr5
Value Score81 / 100
USWashington
76 firms$52/hr5
Value Score80 / 100
USMissouri
59 firms$40/hr4.9
Value Score80 / 100
USGeorgia
74 firms$52/hr5
Value Score80 / 100
USMontana
5 firms$33/hr5
Value Score80 / 100
USMassachusetts
49 firms$51/hr5
Value Score79 / 100
USCalifornia
370 firms$44/hr4.7
Value Score79 / 100
USUtah
38 firms$51/hr5
Value Score79 / 100
USKansas
24 firms$47/hr5
Value Score79 / 100
USFlorida
238 firms$45/hr4.7
Value Score78 / 100
USWyoming
50 firms$50/hr4.9
Value Score78 / 100
USTexas
280 firms$51/hr4.7
Value Score77 / 100
USKentucky
21 firms$50/hr4.9
Value Score76 / 100
USTennessee
41 firms$29/hr
Value Score76 / 100
USNew Jersey
91 firms$42/hr4.6
Value Score75 / 100
USWisconsin
32 firms$32/hr
Value Score74 / 100
USIdaho
9 firms$25/hr
Value Score74 / 100
USIowa
11 firms$25/hr
Value Score74 / 100
USMaryland
53 firms$38/hr
Value Score73 / 100
USArkansas
15 firms$30/hr
Value Score73 / 100
USMaine
11 firms$30/hr
Value Score72 / 100
USNew Mexico
21 firms$35/hr
Value Score72 / 100
USConnecticut
36 firms$39/hr
Value Score72 / 100
USNebraska
34 firms$41/hr
Value Score71 / 100
USOhio
84 firms$47/hr
Value Score71 / 100
USOklahoma
27 firms$40/hr
Value Score71 / 100
USNorth Carolina
56 firms$49/hr4.5
Value Score71 / 100
USMinnesota
49 firms$45/hr
Value Score70 / 100
USMississippi
2 firms$25/hr
Value Score70 / 100
USHawaii
2 firms$25/hr
Value Score70 / 100
USAlaska
1 firms$25/hr
Value Score69 / 100
USIndiana
40 firms$54/hr
Value Score66 / 100
USRhode Island
6 firms$44/hr
Value Score65 / 100
USSouth Carolina
18 firms$57/hr
Value Score63 / 100
USWashington DC
14 firms$56/hr
Value Score63 / 100
USNevada
57 firms$37/hr3.8
Value Score62 / 100
USMichigan
78 firms$33/hr3.7
Value Score62 / 100
USAlabama
8 firms$57/hr
Value Score61 / 100
USPennsylvania
83 firms$41/hr3.6
Value Score58 / 100
USColorado
79 firms$38/hr3.3
Value Score53 / 100
USNorth Dakota
5 firms$25/hr2.8
Value Score47 / 100
USNew Hampshire
4 firms$125/hr
Value Score33 / 100
USOntario
1 firms
Value Score8 / 100

Match by work-hour overlap with your team.

Cost matters - but so does being able to actually talk to your developer during your workday. Here are the best destinations for each major hub.

If you're in US (PT/ET)Recommended

Look for nearshore LATAM partners - same-day collaboration, similar time zones, and 50-60% cost savings vs domestic.

MXMexico~7h overlap
ARArgentina~6h overlap
BRBrazil~5h overlap
CACanada~8h overlap
If you're in Europe (CET/GMT)Recommended

Eastern Europe is your sweet spot - 1-2h time zone shift, EU GDPR alignment, and 40-50% lower rates than Western Europe.

PLPoland~8h overlap
UAUkraine~7h overlap
RORomania~7h overlap
ZASouth Africa~8h overlap

How firms are placed on the matrix

Every position on this chart is the output of the Goodfirms ranking algorithm - a weighted composite of signals across two axes. The algorithm is recomputed regularly and is fully documented.

Sponsorship does not affect placement. PRO members receive visible badges and ad placements, but their algorithmic scores are calculated identically to free listings.

Read the full methodology
Algorithm at a glance
1
X-axis (Core Competencies): Service Focus Ratio + Portfolio Depth + Quality + Experience
2
Y-axis (360-Performance): Client Reviews + Market Presence + Goodfirms Score
3
Missing signals are excluded from a firm's score, not substituted with defaults - weights redistribute across remaining inputs
4
Recency decay over the last 18 months keeps stale reviews from dominating
5
Eligibility floor: ≥ 1 published review in this category scope

Found your target region?

Browse all firms in your chosen country - or let us hand-pick matches based on your project, budget, and time-zone preference.

Get matched firms

States with the best Value Score for bpo services hiring.

Ranked by a composite score blending firm count (supply), average rating (quality), and median hourly rate (cost). Affordability is weighted highest (50%), so this list surfaces actually affordable destinations rather than just-big markets.

Budget leader
California · $0-24/hr

154 firms in this tier - more than any other state, averaging 4.6 ★. Top picks: OBI Services LLC, CallZent, Virtual Assistant India.

Mid-tier leader
California · $50-99/hr

30 firms in this tier - more than any other state, averaging 5.0 ★. Top picks: App Maestros, Information Process Solutions, Magellan Solutions Outsourcing.

Top tier leader
California · $150+/hr

8 firms in this tier - more than any other state. Top picks: Collective Solution, Leads Janitorial, Beyond Codes.

Loading heatmap…
Cell intensity (firm density):
Low
High
Best Value marks the densest, highest-rated, most-affordable cell per row

How the heatmap is built

Every cell in the grid above is the count of firms in (place × hourly-rate tier). Firms are placed by their published hourly rate; those without a disclosed rate are not plotted.

Top company names per cell are surfaced by Value Score - a weighted blend of affordability (50%) + rating (35%) + review volume (15%).

The "Best" ribbon marks the cell in each row where firm density, ratings, and affordability line up best - the densest, highest-quality combination.

Read the full methodology
Value Score · per firm
ValueScore = 0.50 × Affordability
+ 0.35 × Rating
+ 0.15 × Review Volume
// All sub-scores normalized 0-100
// Affordability = (1 - rate/$200) × 100
// Rating = (rating - 3) / 2 × 100
// Volume = log10(reviews+1)/log10(200) × 100

Found your target region?

Browse all bpo services firms in your chosen country - or let our AI hand-pick 3 matches based on your project, budget, and time-zone preference.

Get 3 AI-Matched Firms