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

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Hourly Rate
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Industry
Client Type
  • Using AI Tools

    • ChatGPTChatGPT

    The only CX Partner you need. BPO, Language Services, and AI Integration all under one roof, With our global network of multilingual agents, interpreters, and translators , Defrilex serves your customers 24/7 across any channel and in any language. Don't worry about the logistics of serving a diverse set of customers. We've already got it ... read DefrilexCX reviews & insights

    The only CX Partner you need. BPO, Language Services, and AI Integration all under one ... read DefrilexCX reviews & insights

    < $25/hr
    50 - 249
    2022
    Miami, United States

    Why DefrilexCX?

    • 24 7 Customer Support
    • Multilingual Service
    • Omnichannel Support
  • Using AI Tools

    • ChatGPTChatGPT

    Zenith Assistance is a trusted healthcare outsourcing partner specializing in Medical Billing, Medical Coding, Revenue Cycle Management (RCM), and Virtual Assistant services for healthcare providers across the United States. Headquartered in St. Petersburg, Florida, our ISO 9001 and ISO 27001 certified team brings over 15 years of experience helping practices improve revenue, reduce administrative burdens, ... read Zenith Assistance reviews & insights

    Zenith Assistance is a trusted healthcare outsourcing partner specializing in Medical Billing, Medical Coding, Revenue ... read Zenith Assistance reviews & insights

    $25 - $49/hr
    10 - 49
    2015
    St. Petersburg, United States

    Why Zenith Assistance?

    • 15 Plus Years of Healthcare Expertise
    • Certified and Secure Operations
    • Higher Collections, Fewer Denials
  • Using AI Tools

    • ClaudeClaude

    A Message Center is a family-owned, US-based telephone answering service — real people answering every call, 24/7. Founded in 1962 and based in Millville, NJ, we serve businesses nationwide: medical practices (HIPAA-trained, following your protocols), property managers, HVAC and trades contractors, and any business that can't afford a missed call. Live answering, virtual receptionist, appointment ... read A Message Center reviews & insights

    A Message Center is a family-owned, US-based telephone answering service — real people answering every ... read A Message Center reviews & insights

    $50 - $99/hr
    10 - 49
    1962
    Philadelphia, United States

    Why A Message Center?

    • Real people answer every call, around the clock
    • US Based, never offshore
    • Family-owned since 1962
  • Using AI Tools

    • ClaudeClaude

    About Billix HealthBillix Health is a trusted medical billing company in Dublin, California, dedicated to helping healthcare providers simplify their billing processes, improve cash flow, and maximize revenue. We provide reliable, accurate, and HIPAA-compliant medical billing services that reduce administrative workload, allowing physicians and healthcare professionals to focus on delivering exceptional patient care.With years of ... read Billix Health Medical Billing reviews & insights

    About Billix HealthBillix Health is a trusted medical billing company in Dublin, California, dedicated to ... read Billix Health Medical Billing reviews & insights

    $50 - $99/hr
    2 - 9
    2025
    Dublin, United States

    Why Billix Health Medical Billing?

    • HIPAA-Compliant Billing We follow strict HIPAA sta
    • Experienced Billing Experts Our skilled profession
    • Faster Reimbursements We streamline the billing pr
  • Using AI Tools

    • ClaudeClaude

    Revix MD is a medical billing and revenue cycle management company based in Corona, California, helping U.S. healthcare practices reduce claim denials, accelerate reimbursements, and recover lost revenue through end-to-end RCM solutions across 30+ medical specialties.

    Revix MD is a medical billing and revenue cycle management company based in Corona, California, ... read Revix MD reviews & insights

    NA
    50 - 249
    2026
    Corona, United States

    Why Revix MD?

    • 97.4 Percent First-Pass Clean Claim Rate
    • More Than 30 Specialties, HIPAA-Compliant
    • Less Than 5 Percent Denial Rate
  • Using AI Tools

    • ClaudeClaude

    Rockstar Global partners with private practice owners to remove the operational weight of running a practice. The company provides healthcare-experienced virtual assistants, now paired with AI through its Freedom Engine, along with payroll, benefits, replacements, and success planning handled outside the practice owner's day-to-day.

    Rockstar Global partners with private practice owners to remove the operational weight of running a ... read Rockstar Global reviews & insights

    < $25/hr
    250 - 999
    2023
    Chandler, United States

    Why Rockstar Global?

    • 100 HIPAA-compliant, highly skilled support
    • 20,000 saved in annual profits per solution
    • 7-14 day average implementation timeline
  • WebPurify, an IntouchCX company, empowers communities to be their best with scalable hybrid AI and human content moderation solutions for the world’s leading brands. Ensuring positive user experiences for millions of customers, from marketplaces to the metaverse, with multimedia content seamlessly filtered to any brand’s specifications. WebPurify provides content moderation and review services using both ... read WebPurify reviews & insights

    WebPurify, an IntouchCX company, empowers communities to be their best with scalable hybrid AI and ... read WebPurify reviews & insights

    $50 - $99/hr
    10000+
    2006
    Irvine, United States
  • Altisales.com is a global B2B sales development and go-to-market (GTM) consulting company that helps businesses accelerate revenue growth by building, optimizing, and scaling high-performing outbound sales operations. Founded in 2011, the company specializes in creating predictable and sustainable sales pipelines through a combination of experienced Sales Development Representatives (SDRs), data-driven strategies, advanced prospecting techniques, and ... read AltiSales reviews & insights

    Altisales.com is a global B2B sales development and go-to-market (GTM) consulting company that helps businesses ... read AltiSales reviews & insights

    $25 - $49/hr
    10 - 49
    2012
    San Francisco, United States
  • PointOne International is a globally recognized international trade development and business consulting company specializing in helping businesses expand into international markets. Established in 1996, the company has built decades of experience in cross-border trade, market entry, global sourcing, procurement, international sales, and supply chain management. With offices and representatives across North America, Europe, Asia, and ... read Point One International reviews & insights

    PointOne International is a globally recognized international trade development and business consulting company specializing in ... read Point One International reviews & insights

    < $25/hr
    10 - 49
    1996
    Chicago, United States
  • Using AI Tools

    • ClaudeClaude

    ClaimNexRCM is a trusted Medical Billing and Revenue Cycle Management (RCM) company dedicated to helping healthcare providers improve financial performance through accurate, efficient, and compliant billing solutions. We specialize in Medical Billing, Insurance Credentialing, Provider Enrollment, Medical Coding, AR Follow-up, Denial Management, and State Licensing. Our goal is to maximize reimbursements, reduce administrative burden, and ... read ClaimNexRCM reviews & insights

    ClaimNexRCM is a trusted Medical Billing and Revenue Cycle Management (RCM) company dedicated to helping ... read ClaimNexRCM reviews & insights

    < $25/hr
    50 - 249
    2015
    Phoenix, United States

    Why ClaimNexRCM?

    • Accurate Billing Error-free, compliant claims.
    • Faster Payments Quicker reimbursements.
    • Dedicated Support Reliable service you can trust
  • Using AI Tools

    • ChatGPTChatGPT

    About EZE Medical Billing ServicesAt EZE Medical Billing Services, we help healthcare providers across Albuquerque and New Mexico simplify medical billing and improve revenue. Our experienced team manages every stage of the billing process with accuracy and care so you can spend more time with your patients and less time on paperwork.We understand that every ... read EZE Medical Billing Services reviews & insights

    About EZE Medical Billing ServicesAt EZE Medical Billing Services, we help healthcare providers across Albuquerque ... read EZE Medical Billing Services reviews & insights

    $50 - $99/hr
    10 - 49
    2016
    Albuquerque, United States

    Why EZE Medical Billing Services?

    • Clean Claim Rate
    • Faster Insurance Reimbursements
    • HIPAA Compliant Billing Experts
  • Using AI Tools

    • ChatGPTChatGPT

    ClinicBills is a nationwide medical billing and revenue cycle management company founded in 2025 by billing experts. We help clinics nationwide submit cleaner claims, recover denied revenue, and get paid faster with dedicated account ownership, HIPAA-aligned workflows, and SOC 2 Type II security.

    ClinicBills is a nationwide medical billing and revenue cycle management company founded in 2025 by ... read ClinicBills reviews & insights

    $50 - $99/hr
    2 - 9
    2025
    Denver, United States

    Why ClinicBills?

    • 97 percent first-pass clean claims
    • Dedicated account owner every time
    • HIPAA and SOC 2 Type II security
  • Using AI Tools

    • CursorCursor

    NKCS is a business process outsourcing provider based in Annotto Bay, St. Mary, Jamaica. Our work includes legal operations, customer contact, technical support, and structured administrative queues.Clients provide the product knowledge and business rules. NKCS can work in client systems or help configure an approved operating stack for the programme. We manage recruitment, training delivery, ... read NK Customer Solutions reviews & insights

    NKCS is a business process outsourcing provider based in Annotto Bay, St. Mary, Jamaica. Our ... read NK Customer Solutions reviews & insights

    < $25/hr
    250 - 999
    2019
    Norcross, United States

    Why NK Customer Solutions?

    • Flexible teams that scale with demand
    • Pre-trained agents ready from day one
    • Reliable support at a lower cost
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • PerplexityPerplexity
    • GeminiGemini
    • CanvaCanva

    FinalOutreach is a specialized B2B Outbound Agency offering Done-For-You Cold Email and LinkedIn Outreach services to founders, agencies, and sales teams worldwide.We act as your dedicated outbound partner — handling every step of the outbound process so you never have to worry about SDR hiring, training, or management again.Our Core Services:🔹 Cold Email Marketing & ... read Final Outreach reviews & insights

    FinalOutreach is a specialized B2B Outbound Agency offering Done-For-You Cold Email and LinkedIn Outreach services ... read Final Outreach reviews & insights

    $25 - $49/hr
    10 - 49
    2025
    Wilmington, United States

    Why Final Outreach?

    • Targeted Leads with High Accuracy
    • Expert in LinkedIn & Cold Email
    • Reliable, On-Time Project Delivery
  • Using AI Tools

    • CanvaCanva

    Smart RCM Billing is a trusted medical billing and revenue cycle management partner for healthcare practices across the United States. We take the weight of billing off your shoulders so you and your staff can spend more time with patients instead of paperwork.Our certified coders, billers, and AR specialists work as a true extension of ... read Smart RCM Billing reviews & insights

    Smart RCM Billing is a trusted medical billing and revenue cycle management partner for healthcare ... read Smart RCM Billing reviews & insights

    $25 - $49/hr
    10 - 49
    2011
    Kissimmee, United States

    Why Smart RCM Billing?

    • Strong Claims Performance and Pricing
    • Dedicated, Specialty-Specific Team
    • Compliance, Transparency, and Easy onboarding
  • Using AI Tools

    • ChatGPTChatGPT

    National Payment Processing (NPP) provides secure, affordable payment processing solutions for businesses nationwide. From POS systems and online payments to zero-fee processing, business funding, and dedicated support, we help merchants save money, simplify payments, and grow their business.

    National Payment Processing (NPP) provides secure, affordable payment processing solutions for businesses nationwide. From POS ... read National Payment Processing reviews & insights

    $25 - $49/hr
    50 - 249
    1990
    Stockton, United States

    Why National Payment Processing?

    • Save Up to on Hundred percent Processing Fees
    • Dedicated Customer Support
    • Secure & Reliable Payment Solutions
  • SalesOverdrive.com is a leading B2B sales consulting, revenue acceleration, and sales outsourcing company dedicated to helping businesses achieve sustainable growth through proven sales strategies and performance-driven solutions. Founded in 1996, the company has worked with startups, mid-sized businesses, Fortune 500 organizations, and investor-backed companies across multiple industries. Its mission is to help organizations increase revenue, ... read Sales OverDrive reviews & insights

    SalesOverdrive.com is a leading B2B sales consulting, revenue acceleration, and sales outsourcing company dedicated to ... read Sales OverDrive reviews & insights

    < $25/hr
    50 - 249
    1996
    Plano, United States
  • Accelerant Sales Group is a leading sales and marketing outsourcing company specializing in helping businesses accelerate revenue growth through professional outsourced sales solutions. Founded in 2001, the company has over two decades of experience providing end-to-end sales services for technology companies, startups, and enterprise organizations across North America and other global markets. Their mission is ... read Accelerant Sales reviews & insights

    Accelerant Sales Group is a leading sales and marketing outsourcing company specializing in helping businesses ... read Accelerant Sales reviews & insights

    < $25/hr
    50 - 249
    2001
    Jersey City, United States
  • Using AI Tools

    • PerplexityPerplexity
    • ClaudeClaude
    • ChatGPTChatGPT

    For over 14 years, Scenes City has helped businesses acquire, engage and convert customers through professional telemarketing, lead generation and customer engagement solutions.Combining experienced sales specialists, data-driven strategies and APAC-based contact centre capabilities, we create meaningful conversations that help businesses generate opportunities and grow revenue.

    For over 14 years, Scenes City has helped businesses acquire, engage and convert customers through ... read Scenes City Telesolutions reviews & insights

    < $25/hr
    10 - 49
    2012
    Los Angeles, United States

    Why Scenes City Telesolutions?

    • Singapore-Based Business With APAC Contact Centre
    • Human-Powered Conversations Enhanced By Technology
    • Flexible Solutions Built Around Your Goals
  • Using AI Tools

    • ClaudeClaude

    I-Med Dental Solutions is a trusted dental billing company delivering complete RCM services and end-to-end dental billing services for modern practices. As an experienced outsource dental billing company, we manage claim submission, insurance billing, credentialing & enrollment, AR recovery, and dental billing audits with detailed breakdown of benefits. Backed by I-Med Claims with 15+ years ... read I-Med Dental Solutions reviews & insights

    I-Med Dental Solutions is a trusted dental billing company delivering complete RCM services and end-to-end ... read I-Med Dental Solutions reviews & insights

    $25 - $49/hr
    50 - 249
    2022
    Oakbrook, United States

    Why I-Med Dental Solutions?

    • Focused exclusively on dental billing, coding, and
    • Patient data is handled securely and in compliance
    • At I-Med Dental Solutions, we help dental practice
  • Using AI Tools

    • ChatGPTChatGPT

    Titan Merchant Services is a trusted payment processing company dedicated to helping small and mid-sized businesses accept payments securely, reduce processing costs, and grow with modern business solutions. Backed by more than 30 years of industry experience, we provide customized payment solutions designed to meet the unique needs of businesses across retail, restaurants, eCommerce, healthcare, ... read Titan Merchant Services reviews & insights

    Titan Merchant Services is a trusted payment processing company dedicated to helping small and mid-sized ... read Titan Merchant Services reviews & insights

    NA
    10 - 49
    1996
    Stockton, United States

    Why Titan Merchant Services?

    • 30 Years Payment Processing Expertise
    • Customized Solutions for Every Business
    • Reliable Support to Grow Your Business
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude

    NexCure LLC is a U.S.-based medical billing and revenue cycle management (RCM) company dedicated to helping healthcare providers maximize revenue, reduce claim denials, and streamline administrative operations.Our comprehensive services include medical billing, medical coding, insurance verification, credentialing, denial management, AR follow-up, payment posting, virtual front desk support, and healthcare virtual assistant services. We also provide ... read NexCure LLC reviews & insights

    NexCure LLC is a U.S.-based medical billing and revenue cycle management (RCM) company dedicated to ... read NexCure LLC reviews & insights

    NA
    50 - 249
    2012
    Denver, United States

    Why NexCure LLC?

    • HIPAA Compliant Billing Experts
    • Reduce Denials & Increase Revenue
    • End-to-End RCM Solutions
  • Using AI Tools

    • PrognoCIsPrognoCIs

    ClearCode Billing specializes in helping healthcare providers improve their revenue cycle through accurate, efficient, and compliant medical billing solutions. We provide personalized support rather than a one-size-fits-all approach, working closely with physicians, clinics, and medical practices to reduce claim denials, accelerate reimbursements, and maximize revenue. Our services include medical billing and coding, insurance verification, credentialing, ... read Clear Code Billing reviews & insights

    ClearCode Billing specializes in helping healthcare providers improve their revenue cycle through accurate, efficient, and ... read Clear Code Billing reviews & insights

    NA
    10 - 49
    2023
    St. Petersburg, United States

    Why Clear Code Billing?

    • Accurate & Compliant Billing
    • Complete Revenue Cycle Management
    • Dedicated Client Support
  • Using AI Tools

    • ChatGPTChatGPT

    Silkee Solutions provides dedicated virtual assistants built specifically for insurance agencies not generalist VAs with an insurance page bolted on. Our Insurance Concierge package handles policy lifecycle tracking, carrier coordination, renewal outreach, and CRM management, so agents spend less time on back-office admin and more time selling and retaining clients. Our Sales Assistant and Sales ... read Silkee Solutions reviews & insights

    Silkee Solutions provides dedicated virtual assistants built specifically for insurance agencies not generalist VAs with ... read Silkee Solutions reviews & insights

    NA
    2 - 9
    2024
    Spring Valley, United States

    Why Silkee Solutions?

    • Built exclusively for insurance workflows not a
    • Experience with captive-agent systems, not just in
    • Clear task boundaries plus a replacement guarantee
  • Using AI Tools

    • ClaudeClaude

    Janitorial Pro Appointments connects janitorial and commercial cleaning businesses with verified, exclusive appointments across the US and Canada. We handle lead generation, appointment setting, and outreach — so cleaning companies can focus on closing deals instead of chasing cold leads.Our team researches target industries and service areas, qualifies real decision-makers, and books appointments directly on ... read Janitorial Pro Appointments reviews & insights

    Janitorial Pro Appointments connects janitorial and commercial cleaning businesses with verified, exclusive appointments across the ... read Janitorial Pro Appointments reviews & insights

    NA
    10 - 49
    2026
    Newark, United States

    Why Janitorial Pro Appointments?

    • 100 percent exclusive, verified appointments
    • No cold leads, real decision-makers only
    • No long, term contracts required
  • Using AI Tools

    • ClaudeClaude

    Since 2012, Invisia BPO has partnered with mortgage lenders, title companies, and real estate operations teams who need back-office support that scales with volume not around it. Small misses early in a file rarely stay small. A missed property tax update becomes a delayed closing. An incomplete lien search becomes an underwriting complication. We built ... read Invisia BPO reviews & insights

    Since 2012, Invisia BPO has partnered with mortgage lenders, title companies, and real estate operations ... read Invisia BPO reviews & insights

    NA
    50 - 249
    2012
    Las Vegas, United States

    Why Invisia BPO?

    • Accuracy That Protects Your Closings
    • Scalable Operations Without the Headcount Burden
    • Specialized Expertise, not a Generic BPO
  • Using AI Tools

    • ClaudeClaude

    BillingMate is a medical billing services provider supporting healthcare practices with reliable and efficient revenue cycle management solutions. Our services include medical billing, medical coding, provider credentialing, claims submission, claims scrubbing, denial management, payment posting, accounts receivable follow-up, and billing audits. We help healthcare providers streamline billing processes, manage claims more effectively, and improve overall ... read BillingMate reviews & insights

    BillingMate is a medical billing services provider supporting healthcare practices with reliable and efficient revenue ... read BillingMate reviews & insights

    NA
    Freelancer
    2016
    Illinois City, United States

    Why BillingMate?

    • Medical Billing Compliance Audit
    • Revenue Cycle Management Services
    • Medical Claims Management
  • Using AI Tools

    • PerplexityPerplexity

    TI Marketing Solutions is a B2B demand generation partner built on the authority of TechInformed, a trusted enterprise technology publisher. We combine first-party data, editorial expertise, and targeted content programs to connect brands with verified decision-makers and drive measurable pipeline growth.

    TI Marketing Solutions is a B2B demand generation partner built on the authority of TechInformed, ... read TI Marketing Solutions reviews & insights

    NA
    50 - 249
    2021
    NYC, United States

    Why TI Marketing Solutions?

    • 131M verified tech decision-makers worldwide
    • Full-funnel activation in one ecosystem
    • Publisher-powered first-party audience data
  • Using AI Tools

    • ClaudeClaude

    USARCM Solutions provides end-to-end revenue cycle management solutions for healthcare providers. We help practices streamline billing, coding, claims, and payment processes. Our experts work to reduce claim denials and improve revenue recovery. From insurance verification and prior authorization to AR follow-up, we manage the complete cycle. Our specialty-focused teams deliver tailored solutions for different healthcare ... read USARCM Solutions reviews & insights

    USARCM Solutions provides end-to-end revenue cycle management solutions for healthcare providers. We help practices streamline ... read USARCM Solutions reviews & insights

    $25 - $49/hr
    50 - 249
    2001
    Riverside, United States

    Why USARCM Solutions?

    • reliable
    • professional
    • customized solutions
  • Using AI Tools

    • ClaudeClaude

    MediCommerce’s roots are in Texas, and so is a deep, practical understanding of what it takes to manage medical billing and revenue cycle operations here. That means staying current on Texas insurance requirements and rules and the credentialing and medical coding nuances that trip up practices working with generic, out-of-state billing vendors. That means an ... read MediCommerce LLC reviews & insights

    MediCommerce’s roots are in Texas, and so is a deep, practical understanding of what it ... read MediCommerce LLC reviews & insights

    NA
    50 - 249
    2015
    Dallas, United States

    Why MediCommerce LLC?

    • Not a lift-and-shift arrangement
    • Strong AR and Denial Prevention protocol
    • Staff Extension with relevant experience
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini
    • PerplexityPerplexity
    • GitHub CopilotGitHub Copilot
    • + 5 More

    CureMed is a top-rated outsourced medical billing company serving healthcare practices across the United States. We specialize in medical billing, revenue cycle management (RCM), credentialing, and denial management for practices in Texas, California, Florida, New York, Illinois, and beyond.Our services cover 9 medical specialties including cardiology, orthopedics, psychiatry, neurology, nephrology, OB/GYN, endocrinology, podiatry, and gynecology. ... read CureMed reviews & insights

    CureMed is a top-rated outsourced medical billing company serving healthcare practices across the United States. ... read CureMed reviews & insights

    < $25/hr
    10 - 49
    2013
    Sheridan, United States

    Why CureMed?

    • Flat 4.99 percent rate no hidden fees
    • 96 percent clean claim rate first pass
    • State specific payer expertise across US
  • Using AI Tools

    • ClaudeClaude

    TransLabs is a laboratory-specific billing and revenue cycle management company built around how labs actually operate — diagnostic, clinical, reference, molecular/genetic, pathology, and hospital-based. With a 98% first-pass clean claim rate, 100% HIPAA compliance, and $500M+ in claims processed, we help labs of every type cut denials, speed up payments, and maximize revenue, so your ... read TransLabs reviews & insights

    TransLabs is a laboratory-specific billing and revenue cycle management company built around how labs actually ... read TransLabs reviews & insights

    NA
    1,000 - 9,999
    2013
    Sachse, United States

    Why TransLabs?

    • 1100 certified billing and coding specialists
    • Laboratory exclusive focus and expertise
    • RCM Automation with expert human oversight
  • Using AI Tools

    • ClaudeClaude

    TransDontics is a dental-specific billing and revenue cycle management company built around how dental practices actually run — general dentistry, orthodontics, oral surgery, pediatrics, periodontics, and DSOs. With a 98% first-pass clean claim rate, 100% HIPAA compliance, and $500M+ in claims processed, we help practices cut denials, accelerate payments, and maximize revenue, so your team ... read TransDontics reviews & insights

    TransDontics is a dental-specific billing and revenue cycle management company built around how dental practices ... read TransDontics reviews & insights

    NA
    1,000 - 9,999
    2013
    Irving, United States

    Why TransDontics?

    • 1100 certified coding and billing specialists
    • RCM services with Dental exclusive Focus
    • RCM Automation with expert human oversight
  • Using AI Tools

    • ClaudeClaude
    • GeminiGemini

    Health Med Affairs is a professional healthcare solutions company dedicated to helping medical practices streamline billing operations, optimize revenue cycles, and reduce administrative burdens. We provide comprehensive services, including medical billing and coding, credentialing and provider enrollment, denial management, AR follow-up, payment posting, eligibility verification, prior authorization, charge entry, patient statements, medical virtual assistants, and ... read Health Med Affairs reviews & insights

    Health Med Affairs is a professional healthcare solutions company dedicated to helping medical practices streamline ... read Health Med Affairs reviews & insights

    NA
    50 - 249
    2024
    Austin, United States

    Why Health Med Affairs?

    • Accurate & Efficient Billing Solutions
    • Reduce Denials & Improve Collections
    • Experienced Healthcare Support Team
  • Using AI Tools

    • LovableLovable

    SBN Healthcare Solution is a healthcare revenue cycle management and medical billing company helping healthcare providers improve billing accuracy, reduce revenue leakage, and strengthen financial performance. We provide comprehensive medical billing and RCM support tailored to the needs of healthcare organizations and medical practices.Our services include medical billing, medical coding, insurance eligibility and verification, denial ... read SBN Healthcare Solution reviews & insights

    SBN Healthcare Solution is a healthcare revenue cycle management and medical billing company helping healthcare ... read SBN Healthcare Solution reviews & insights

    $25 - $49/hr
    50 - 249
    2021
    Sheridan, United States

    Why SBN Healthcare Solution?

    • Experienced Healthcare Billing & RCM Support
    • Accurate Claims and Denial Management
    • Flexible Solutions for Healthcare Providers
  • Using AI Tools

    • ClaudeClaude

    At 1LeadGen, we help local service businesses attract more customers through targeted digital marketing and lead generation. From local SEO and Google Ads to exclusive leads and booked appointments, our focus is simple: connecting businesses with real customers who are ready to buy, helping them grow, compete, and succeed locally.

    At 1LeadGen, we help local service businesses attract more customers through targeted digital marketing and ... read 1LeadGen reviews & insights

    < $25/hr
    10 - 49
    2025
    Delaware County, United States

    Why 1LeadGen?

    • We turn local searches into your next customer.
    • Connect with real customers who are ready to buy.
    • More calls, more appointments, and more business.
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini

    Medical billing that ends at zero balance, not at claim submission.Most billing vendors submit claims. Luxen Talent runs the revenue cycle end to end: eligibility and benefits verification, prior authorization, medical coding, claim submission, payment posting, denial management, appeals, AR follow-up, patient billing, credentialing, and reporting.We bring 20+ years of revenue cycle experience to physician ... read Luxen Talent reviews & insights

    Medical billing that ends at zero balance, not at claim submission.Most billing vendors submit claims. ... read Luxen Talent reviews & insights

    NA
    10 - 49
    2020
    San Francisco, United States

    Why Luxen Talent?

    • We run your full revenue cycle, not a slice
    • No system migration, we work in your PM
    • Month to month, no setup or exit fee
  • Using AI Tools

    • NoneNone

    We know dentistry. That's why we're good at insurance. Dental insurance billing, benefit verification, claims follow-up, posting, and A/R recovery. A dedicated account manager who knows your office and your software. Denials get worked, not written off. Old claims get chased, not abandoned. Published pricing. Let us deal with the insurance companies. Your team can ... read Smile Care Claims LLC reviews & insights

    We know dentistry. That's why we're good at insurance. Dental insurance billing, benefit verification, claims ... read Smile Care Claims LLC reviews & insights

    NA
    10 - 49
    2024
    Saint Petersburg, United States

    Why Smile Care Claims LLC?

    • Dedicated account manager who knows your office
    • Denials get worked, not written off
    • Published pricing and old claims chased
  • Using AI Tools

    • ClaudeClaude

    Galaxy Call Centers provides dedicated outbound and inbound teams for US companies. We handle the full operation — recruiting, training, management, quality control, dialer infrastructure, CRM, and reporting — so clients get a functioning team rather than a pile of seats.Outbound. Cold calling and lead generation for real estate investors, wholesalers, mortgage companies, and home ... read Galaxy Call Centers reviews & insights

    Galaxy Call Centers provides dedicated outbound and inbound teams for US companies. We handle the ... read Galaxy Call Centers reviews & insights

    < $25/hr
    50 - 249
    2024
    Sheridan, United States

    Why Galaxy Call Centers?

    • Enterprise standards at offshore cost
    • Leadership ran CS for Amazon, Comcast, Verizon
    • Month to month. No contracts. No setup fees
  • Using AI Tools

    • GeminiGemini

    Welcome to Virtual Medical Assistant Services – Your Trusted Partner in Healthcare Innovation! At Virtual Medical Assistant, we are committed to revolutionizing healthcare through cutting-edge technology and personalized assistance.

    Welcome to Virtual Medical Assistant Services – Your Trusted Partner in Healthcare Innovation! At Virtual ... read virtual assistants us reviews & insights

    NA
    10 - 49
    2020
    California, United States

    Why virtual assistants us?

    • We are you trusted partner in Healthcare
    • We are commited to revolutionizing Heathcare
    • We offer multiple services
  • Using AI Tools

    • ClaudeClaude
    • ChatGPTChatGPT

    Ambit Global Solution delivers comprehensive medical billing, behavioral health billing, credentialing, and revenue cycle management (RCM) services tailored to U.S. healthcare providers. Our HIPAA-compliant solutions are designed to minimize claim denials, maximize reimbursements, strengthen cash flow, and streamline revenue operations—allowing healthcare practices to spend more time focused on providing exceptional patient care.

    Ambit Global Solution delivers comprehensive medical billing, behavioral health billing, credentialing, and revenue cycle management ... read Ambit Global Solution reviews & insights

    < $25/hr
    50 - 249
    2016
    Buford, United States

    Why Ambit Global Solution?

    • 12 years of experience in U.S. healthcare RCM.
    • Complete RCM solutions to simplify your billing.
    • Reduce denials, boost revenue, and save time.
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude

    Callzer is a performance-driven BPO and call center company delivering reliable outbound and inbound support services to businesses across the United States.We specialize in high-conversion calling campaigns designed to help companies scale faster and operate more efficiently. Our team combines strong communication skills, structured processes, and results-focused execution to ensure measurable outcomes for our partners.At ... read CALLZER LLC reviews & insights

    Callzer is a performance-driven BPO and call center company delivering reliable outbound and inbound support ... read CALLZER LLC reviews & insights

    < $25/hr
    2 - 9
    2025
    Kalispell, United States

    Why CALLZER LLC?

    • Result Driven Culture
    • Co Created Solutions
    • Trust & Integrity
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • PerplexityPerplexity

    Claimura is a U.S.-based medical billing and revenue cycle management company helping healthcare providers improve collections, reduce claim denials, and streamline their billing operations. We provide comprehensive medical billing, medical coding, accounts receivable follow-up, denial management, provider credentialing and enrollment, EHR integration, and specialty-specific RCM solutions.Our services are designed for clinics, medical practices, and independent ... read Claimura reviews & insights

    Claimura is a U.S.-based medical billing and revenue cycle management company helping healthcare providers improve ... read Claimura reviews & insights

    NA
    10 - 49
    2018
    Dallas, United States

    Why Claimura?

    • We provide expert medical billing and RCM support
    • We help reduce denials and improve collections
    • We deliver reliable healthcare billing solutions
  • Using AI Tools

    • ClaudeClaude

    Medixion Pro Healthcare & IT Solutions is a US-based medical billing and revenue cycle management company founded in 2019, headquartered in Santa Fe, New Mexico. Serving 500+ healthcare providers across all 50 states, we offer end-to-end RCM services including medical billing, coding, credentialing, denial management, and prior authorization across 30+ specialties.Our certified team achieves a ... read Medixion Pro reviews & insights

    Medixion Pro Healthcare & IT Solutions is a US-based medical billing and revenue cycle management ... read Medixion Pro reviews & insights

    < $25/hr
    2 - 9
    2019
    Santa Fe, United States

    Why Medixion Pro?

    • Certified billing experts across all specialties
    • HIPAA-compliant, secure, and fully transparent
    • Dedicated account manager, zero call centers
  • Using AI Tools

    • ClaudeClaude

    We connect your business with top-tier, native English and Spanish-speaking agents trained in customer service, sales, and technical support.

    We connect your business with top-tier, native English and Spanish-speaking agents trained in customer service, ... read StratifyCX reviews & insights

    $25 - $49/hr
    50 - 249
    2025
    Edinburg, United States

    Why StratifyCX?

    • Top-Tier Talent
    • Built Around Your Business
    • Scale With Confidence
  • Using AI Tools

    • ClaudeClaude

    Margin Labs is an independent embedded payments advisory for PE-backed vertical SaaS platforms. Most software companies run real payment volume through their product and capture almost none of the economics. We help them close that gap.We are vendor neutral and work for the platform, not the processor. That independence is the point. The best payments ... read Margin Labs reviews & insights

    Margin Labs is an independent embedded payments advisory for PE-backed vertical SaaS platforms. Most software ... read Margin Labs reviews & insights

    NA
    2 - 9
    2026
    Radnor Township, United States

    Why Margin Labs?

    • Independent work for you not the processor
    • Built by an operator who ran the P and L
    • We find the margin you are leaving behind
  • Using AI Tools

    • ChatGPTChatGPT

    US-based outsourced dental billing for practices and DSOs. Insurance verification, claims, payment posting, denials, patient billing, AR cleanup. Work is done inside the practice's existing PMS. Month-to-month, no onboarding fee, published pricing.

    US-based outsourced dental billing for practices and DSOs. Insurance verification, claims, payment posting, denials, patient ... read Clear Dental Billing reviews & insights

    $25 - $49/hr
    2 - 9
    2026
    Nashville, United States

    Why Clear Dental Billing?

    • We work inside your existing PMS
    • Month-to-month, no onboarding fee
    • Published, transparent pricing
  • Using AI Tools

    • EHR SoftwareEHR Software

    MBS Texas is a physician-owned medical billing company serving healthcare practices across Texas. We handle the full revenue cycle — billing, coding, credentialing, denial management, A/R follow-up, and RPM/CCM billing — for 50+ specialties including cardiology, orthopedics, neurology, and behavioral health.Why choose us:HIPAA-compliant, Texas-based teamCertified coders (AAPC/AHIMA)98% clean claims rateDedicated account manager, no call centersIntegrates ... read Medical Billing Services Texas - MBS Texas reviews & insights

    MBS Texas is a physician-owned medical billing company serving healthcare practices across Texas. We handle ... read Medical Billing Services Texas - MBS Texas reviews & insights

    NA
    50 - 249
    2017
    Dallas, United States

    Why Medical Billing Services Texas - MBS Texas?

    • HIPAA-compliant, Texas-based team
    • Certified coders
    • Performance-based pricing

Post your project. Get proposals from PRO-verified firms.

Goodfirms recommends the top 3. You pick the winner.

Why Trust Goodfirms

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The Magical Quadrant

Hover any bubble for the firm's exact scores. Filter the view using the controls on the right.

360-PERFORMANCE VIEW (Y) →
0255075100
Industry ContendersIndustry LeadersUpcoming AchieversMarket Influencers
0255075100
CORE COMPETENCIES (X) →

The four quadrants explained

Each card shows the count of firms in that quadrant and the top 5 by composite score.

Industry Contenders
Top-left · Y ≥ 50, X < 50
1FIRMS

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 / 52
The Industry Leaders in detail

The 8 highest-scoring firms in the Industry Leaders quadrant. Each has both Core Competencies and 360-Performance ≥ 50. Click any card for the full profile.

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

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.

Loading map…

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