Strong on both Core Competencies and 360-Performance. These firms have proven track records, deep specialisation, and solid client outcomes. Default recommendation for most buyers.
Top BPO Companies in the USA
Goodfirms has reviewed 2,773 BPO Companies in the USA as of September 2026. The top-ranked firm is Appointment Setter Online (4.9 stars, 51 verified reviews, NA, founded 2010, Brooklyn). Across the category, the median hourly rate is $25, median client rating is 4.7, and 30% of firms employ 50+ members. Explore the vetted BPO Companies in the USA below, compare their strengths, and connect with the provider best suited to your requirements.
Are you searching for BPO companies in the USA to outsource your company's noncritical functions? It will also allow you to act more quickly and efficiently when managing the risks associated with new products or services. So, with the help of business process outsourcing (BPO) services in the USA, you can allocate responsibility to the experts and reassign your internal personnel to more critical tasks. When the functions are outsourced to established BPO firms in the USA that have all the resources, you will not have to worry about hiring and training. Below is a list of the top BPO companies in the United States by Goodfirms.
Goodfirms has verified 2,773 BPO Companies in the USA - part of 6,245+ 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.
Here are the Top BPO Companies in the USA
We hold ourselves to the utmost client and patient customer service that it supersedes the rest! Since there are many questions when it comes to insurance, we do what it takes so that the patient and provider office understands how it works, for each and every patient. We completely understand how frustrating getting an insurance ... read Primary Solutions reviews & insights
We hold ourselves to the utmost client and patient customer service that it supersedes the ... read Primary Solutions reviews & insights
< $25/hr50 - 2492004Las Vegas, United StatesAs Health Care Providers, you have worked hard to build your business and we understand the importance of remaining focused on your patients and referral sources. We also understand that today, more than ever before, Cash-Flow matters and the long delay associated with recovering your monies on Personal Injury Lien accounts is becoming more difficult ... read Canyon Medical Billing reviews & insights
As Health Care Providers, you have worked hard to build your business and we understand ... read Canyon Medical Billing reviews & insights
< $25/hr50 - 2492003Las Vegas, United StatesSince 1989, American Billing Service has provided exemplary medical billing services and claims management for hundreds of physicians nationwide. Medical of all sizes have come to rely on our diligence, our experience, and our 28-year reputation for excellence. In addition to medical billing, our services include medical coding and medical transcription. Our clients all over ... read MedUSA Health Care Services reviews & insights
Since 1989, American Billing Service has provided exemplary medical billing services and claims management for ... read MedUSA Health Care Services reviews & insights
$25 - $49/hr2 - 9Windsor, United StatesWe focus on learning and implementing latest ideas and process helping our clients to concentrate on their major activities with all the non-competent activities outsourced to our safe and smooth process.
We focus on learning and implementing latest ideas and process helping our clients to concentrate ... read OPTEO BILLING SERVICES reviews & insights
< $25/hr50 - 2492017Las Vegas, United StatesOur services include entering Patient demographics, billing information, posting charges, payments and adjustments from both EOBs & ERAs. Our expertise lies in identifying the proper corrective action for denials. Unpaid claims are followed up and appealed until a satisfactory payment or final denial is secured.
Our services include entering Patient demographics, billing information, posting charges, payments and adjustments from both ... read EMC reviews & insights
< $25/hr50 - 2491992Las Vegas, United Statesin2itive Business Solutions is a full-service healthcare revenue cycle management and consultation firm, with a leadership team that has spent a collective 75 years crunching numbers, reconciling accounts, filing claims and uncovering lost revenue.
in2itive Business Solutions is a full-service healthcare revenue cycle management and consultation firm, with a ... read in2itive reviews & insights
< $25/hr10 - 49Overland Park, United StatesThe Kell Group is the premier medical billing and billing consulting company in Western Pennsylvania. The Kell Group converts under-performing, deficient billing systems into an efficient and robust source of revenue. By improving reimbursement rates, increasing collection ratios and keeping A/R low and current, the Kell Group raises their clients' revenues.
The Kell Group is the premier medical billing and billing consulting company in Western Pennsylvania. ... read The Kell Group reviews & insights
NA10 - 491999Pittsburgh, United StatesAnchor Point Billing Solutions is a mental health billing and claims processing service dedicated to assisting practices with streamlining their billing cycle and increasing their receivables. We specialize in working with both individual and multi-specialty mental health practices to enhance their billing, resulting in increased revenue. As billing companies become an increasingly vital part of ... read AnchorPoint reviews & insights
Anchor Point Billing Solutions is a mental health billing and claims processing service dedicated to ... read AnchorPoint reviews & insights
< $25/hr10 - 492015Kansas City, United StatesIntensivist Billing is a Pittsburgh based Critical Care billing and physician services company.Intensivist Billing operational strategy is to provide a comprehensive menu of management services to solve the ever increasing clinical, financial information and billing service needs of Critical Care physicians.Our billing specialists are unsurpassed for quality and performance. They have special expertise in critical ... read Intensivist Billing reviews & insights
Intensivist Billing is a Pittsburgh based Critical Care billing and physician services company.Intensivist Billing operational ... read Intensivist Billing reviews & insights
NA10 - 49Pittsburgh, United StatesWe believe that having a strong medical billing team in your corner makes a huge difference on your bottom line. We pride our work in ensuring that every claim is processed timely, that clients have access to reports and data when needed, and we vigilantly watch for trends and service opportunities. Our Certified Coders are ... read Triple B Billing reviews & insights
We believe that having a strong medical billing team in your corner makes a huge ... read Triple B Billing reviews & insights
NA10 - 49Pittsburgh, United StatesDMSCO was established in 1987 for the purposes of providing medical billing and account receivable management for all healthcare professionals that desire to outsource their medical billing. DMSCO offers several options billing data retrievals: a) interface with EMR, b) real time cloud scanning solutions, fax, secured email. c) connect to provider billing software by working ... read DMSCO Billing Services reviews & insights
DMSCO was established in 1987 for the purposes of providing medical billing and account receivable ... read DMSCO Billing Services reviews & insights
NA2 - 9Sacramento, United StatesWe began billing for medical transports in 1991 and are proud to say we’ve got the same commitment to our clients today as we did then. Our experience has shown that consistent investment in quality billing staff, training and compliance oversight is what best serves the client. While we’ve grown over the years, we’ve always ... read Quick Med Claims reviews & insights
We began billing for medical transports in 1991 and are proud to say we’ve got ... read Quick Med Claims reviews & insights
NA10 - 491991Pittsburgh, United StatesSymmetry Medical Billing & Consulting provides a professional custom billing solution to clinicians through superior service, expert consultation, and proven strategies that increase the value of the clinic to owners, employees, and patients. We fuse proprietary processes, systems, and technologies with years of industry knowledge to increase revenues, reduce costs, eliminate administrative nightmares and give ... read Symmetry Medical Billing reviews & insights
Symmetry Medical Billing & Consulting provides a professional custom billing solution to clinicians through superior ... read Symmetry Medical Billing reviews & insights
NA10 - 491986Pacific Grove, United StatesEnsure proper claims submission, price table configuration and cash posting. Stay in front of Payor Communication issues to streamline the Revenue Cycle Process..Our Team can assist with software conversions, price table configuration, EFT and EDI enrollment and more.Tackle outstanding billed claims utilizing a proprietary algorithm and tasking system turning Accounts Receivables to Cash.
Ensure proper claims submission, price table configuration and cash posting. Stay in front of Payor ... read Med Bill reviews & insights
NA10 - 49Pittsburgh, United StatesAK Medical Billing Services, LLC. is located in Leechburg, Pennsylvania, just north of Pittsburgh, and was founded by husband and wife team Kurt and Andrea Tesche. Andrea and Kurt built AKMBS with the understanding that every practice is unique, and so too are their billing needs. With that knowledge, our services are tailored specifically to ... read AK Medical Billing Service reviews & insights
AK Medical Billing Services, LLC. is located in Leechburg, Pennsylvania, just north of Pittsburgh, and ... read AK Medical Billing Service reviews & insights
NA10 - 49Pittsburgh, United StatesMost outsourcing providers work based on headcount model, where in they increase revenue when more people work on your project. However, our outsourcing model is not built based on headcount, but built on providing optimal efficiency on your project with minimum head count. That’s why we use latest AI and robotic automation technologies to constantly ... read Physician billing and coding reviews & insights
Most outsourcing providers work based on headcount model, where in they increase revenue when more ... read Physician billing and coding reviews & insights
NA1,000 - 9,9992004Pittsburgh, United StatesAutomated Physician Services is dedicated to provide very personalized services to meet the needs of your practice. Since 1999, providers have relied on Automated Physician Services (APS) to increase reimbursement rates and maximize billing potential. Practices today operate at a very hectic pace. Most have a difficult time keeping up with the every day tasks ... read APS Billing Solution reviews & insights
Automated Physician Services is dedicated to provide very personalized services to meet the needs of ... read APS Billing Solution reviews & insights
NA10 - 491999Butler, United StatesMedical Billing Professional team who knows your specialty. Your practice financial heartbeat that never stops, so you can keep running. Our staff becomes an extension of your practice. Ongoing communication ensures that priorities are understood, issues are communicated and we are always accessible. We are your advocate and aggressively work every claim through to resolution. ... read Bridge Billing Services reviews & insights
Medical Billing Professional team who knows your specialty. Your practice financial heartbeat that never stops, ... read Bridge Billing Services reviews & insights
NA2 - 9Elk Grove, United StatesFPIMED established in 2018 by team of experts with 15 years of medical billing coding, credentialing, denials and rejection management. We offer our client to give us your write-off claims to check our work accuracy. FPIMED healthcare Billing Services is one of the leading providers of medical billing services. We provide end-to-end services helping our ... read FPIMED reviews & insights
FPIMED established in 2018 by team of experts with 15 years of medical billing coding, ... read FPIMED reviews & insights
NA2 - 9Sacramento, United StatesFor more than 20 years, the VertexDr product suite has been one of the most trusted and stable platforms in the physician and medical billing industries. As a leader in electronic medical records and medical billing software, VertexDr offers an integrated solution for today’s modern physician practice and medical billing company. Our full-featured EMR technology ... read VertexDr reviews & insights
For more than 20 years, the VertexDr product suite has been one of the most ... read VertexDr reviews & insights
$25 - $49/hr2 - 9Windsor, United StatesPreferred Medical Billing is a multi-specialty HIPAA compliant medical billing company in California that offers total management of the medical billing process. Our specialized back-office team working on your behalf is adept at claims submission, payment posting, insurance follow-up and patient statements. We not only take the burden off handling billing functions but also help ... read Preferred Medical Billing reviews & insights
Preferred Medical Billing is a multi-specialty HIPAA compliant medical billing company in California that offers ... read Preferred Medical Billing reviews & insights
NA2 - 9Sacramento, United StatesPractiSource is a nationwide full service billing and revenue cycle management firm specializing in maximizing reimbursement for medical reference laboratories, medical practices and facilities.
PractiSource is a nationwide full service billing and revenue cycle management firm specializing in maximizing ... read PractiSource reviews & insights
$25 - $49/hr2 - 9Tolland, United StatesIt is our mission in 2017 to be the leading edge in billing and collections for our providers and to help your practice enjoy unprecedented success and income. Electronic Billing through Daisy Bill, aggressive follow up, appeals, SBRs and IBRs, knowledge of the WCAB lien system all add up to tens of thousands of additional ... read Westshore Medical Billing reviews & insights
It is our mission in 2017 to be the leading edge in billing and collections ... read Westshore Medical Billing reviews & insights
NA2 - 9Rocklin, United StatesNorthBay Medical Billing is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your operating expenses. Our services are specifically designed to meet the needs of individual and small group ... read NorthBay Medical Billing reviews & insights
NorthBay Medical Billing is a professional billing service dedicated to meeting all of the insurance ... read NorthBay Medical Billing reviews & insights
NA2 - 9Sacramento, United StatesPeak Medical Billing LLC is committed to being your dedicated billing department. We are flexible and will customize our services to fulfill your needs. We will work closely with your staff to implement work-flow plans to increase productivity, and we will spend more personal time on your accounts to increase your revenue, allowing you to ... read Peak Medical Billing reviews & insights
Peak Medical Billing LLC is committed to being your dedicated billing department. We are flexible ... read Peak Medical Billing reviews & insights
NA2 - 9Oakdale, United StatesMission Medical Billing Service (MMBS) was established in 2005 by Delia Marquez. “Full-Cycle” involvement in preparation and management of medical provider billing has been our primary focus. MMBS is proficient in all medical revenue cycle functions including initial and ongoing credentialing, billing, claims transmission, insurance denials, appeals and follow ups, ERA & EFT handling, accounts ... read Mission Medical Billing Service reviews & insights
Mission Medical Billing Service (MMBS) was established in 2005 by Delia Marquez. “Full-Cycle” involvement in ... read Mission Medical Billing Service reviews & insights
NA2 - 9San Diego, United StatesMomentum Billing is headquartered in beautiful San Diego, California. The company was formed by two principals with many years of healthcare industry experience who believed in a better way to optimize medical billing practices and deliver enhanced billing services. In fact, although billing is in our name and at our core, our solution extends far ... read Momentum Billing reviews & insights
Momentum Billing is headquartered in beautiful San Diego, California. The company was formed by two ... read Momentum Billing reviews & insights
NA2 - 9San Diego, United StatesMed-Direct, LLC can offer you a confidential, worry free billing program designed specifically to fit your needs. This helps you devote time to patient care and practice growth. As a professional, you realize that time is money. Med-Direct, LLC can show you ways to maximize your time and increase your practice’s profitability. Med-Direct, LLC was ... read Med-Direct reviews & insights
Med-Direct, LLC can offer you a confidential, worry free billing program designed specifically to fit ... read Med-Direct reviews & insights
$25 - $49/hr2 - 9Cromwell, United StatesTo provide superior revenue cycle management for physicians and groups, maximize revenue, reduce days in A/R, give you more time to care for your patients, take the headache of billing off the hands of your office staff, submit clean, accurate, compliant claims the first time, and remove the burden of worrying about the cash flow ... read Medical Billing Associates reviews & insights
To provide superior revenue cycle management for physicians and groups, maximize revenue, reduce days in ... read Medical Billing Associates reviews & insights
NA2 - 9San Diego, United StatesMany private medical providers and small medical service organizations are simply not large enough to justify maintaining a professional in-house billing staff. Trying to do so often results in overburdening other staff professionals and leads to reduced claim submission effectiveness and lost revenue.
Many private medical providers and small medical service organizations are simply not large enough to ... read MPB Medical Billing Service reviews & insights
NA2 - 9San Diego, United StatesProviding electronic claims filing services for Physicians, Therapists, L.C.S.W., Psychologist and other Behavioral Health providers. Proficient with all insurance companies and government carriers nationwide, including Medicare and Medicaid. With over 15 years working in mental health with 12 years dedicated to medical billing services. Customer service skills for interacting with patients regarding medical claims and ... read FOCUS HEALTH reviews & insights
Providing electronic claims filing services for Physicians, Therapists, L.C.S.W., Psychologist and other Behavioral Health providers. ... read FOCUS HEALTH reviews & insights
$25 - $49/hr2 - 9Plainville, United StatesMedical billing and coding company providing services to physicians throughout Southern California. We unlock the potential of medical practices by promoting efficiency within the revenue management cycle, educating staff members, and providing the highest level of patient satisfaction.
Medical billing and coding company providing services to physicians throughout Southern California. We unlock the ... read San Diego Medical Billing reviews & insights
NA2 - 9Chula Vista, United StatesDental Billing & Consulting Professionals is a full service accounts receivable management company utilizing the very latest in technology and software know-how to maximize your profits and eliminate lost funds. Our dental billing service ensures proper electronic claims and attachment submissions and accurate posting of all EOB payments, credits and adjustments to patient accounts. We ... read Dental Billing & Consulting Professionals reviews & insights
Dental Billing & Consulting Professionals is a full service accounts receivable management company utilizing the ... read Dental Billing & Consulting Professionals reviews & insights
$25 - $49/hr2 - 9Glastonbury, United StatesThe professionals at iMedBill can help you and your medical practice gain back some valuable time, improve many of the day-to-day office and patient record practices, and help capture more of your hard earned revenue.
The professionals at iMedBill can help you and your medical practice gain back some valuable ... read iMedBill reviews & insights
NA2 - 9San Diego, United StatesLinda Griebel has over 26 years of knowledge in the mental health billing field. If you are a mental health therapist needing help in billing and have questions with regard to billing insurance, Worker's Compensation, Triwest, Medicare, Medi-Cal and the like for your patients, you can contact Linda Griebel to setup a consultation. If you ... read Griebel Billing reviews & insights
Linda Griebel has over 26 years of knowledge in the mental health billing field. If ... read Griebel Billing reviews & insights
NA2 - 9San Diego, United StatesAbsolute Solutions is a full-service billing, consulting and project management company dedicated to the healthcare industry. Our company was created with the physician in mind to optimize every part of your practice. We are a results-driven company dedicated to your practice and provide services in billing, office management, customer service and much more.
Absolute Solutions is a full-service billing, consulting and project management company dedicated to the healthcare ... read Absolute Solutions reviews & insights
NA2 - 9San Diego, United StatesMore than just a billing company! Our core mission is maximizing the health and viability of private medical practices in today’s complex healthcare environment. As a certified healthcare service, we specialize in complete revenue cycle optimization and ensure collection of up to 98% of claims submissions. As a San Francisco Bay Area based company, we ... read Horizon Revenue Solutions reviews & insights
More than just a billing company! Our core mission is maximizing the health and viability ... read Horizon Revenue Solutions reviews & insights
NA2 - 9San Jose, United StatesWe are proud to be the first school-based Medicaid vendor in California. But we’re more pleased that our services and the reimbursements they garner have reached millions of children nationwide. Through our full-scale Medicaid reimbursement billing partnership, Paradigm’s clients recover over $100 million in federal reimbursements each year.
We are proud to be the first school-based Medicaid vendor in California. But we’re more ... read Paradigm Healthcare Services reviews & insights
NA2 - 9San Francisco, United StatesCodex Medical Billing is a national revenue cycle management company specializing in medical coding, billing and credentialing services to contracted physicians and small to mid size medical practices.
Codex Medical Billing is a national revenue cycle management company specializing in medical coding, billing ... read Codex Medical Billing reviews & insights
NA10 - 49Boulder, United StatesDBS is your complete resource for professional medical billing. I will manage your accounts efficiently, professionally and with an incredibly fast turnaround. I can manage your accounts whether it’s a Multi-Specialty practice, Specialist, Workers Compensation claims, Surgical claims, Medicare, etc. You can also count on my specialized Podiatric billing expertise.
DBS is your complete resource for professional medical billing. I will manage your accounts efficiently, ... read Doctors Billing Services reviews & insights
NA2 - 9San Francisco, United StatesWe are a team of medical billing service experts, committed to providing ongoing value to our customers. We leverage technology and implement best practices, to provide a range of high quality and cost-efficient medical billing solutions, from domestic locations enabling customers achieve their business goals. Matrix is the best option for any medical billing needs. ... read Matrix Medical Billing reviews & insights
We are a team of medical billing service experts, committed to providing ongoing value to ... read Matrix Medical Billing reviews & insights
$25 - $49/hr2 - 9Mesa, United StatesFounded in 1974 as a medical billing company, Clinic Service has never strayed from its mission: To Maximize the Profit for Physicians and Medical Practices. Our market leadership in medical billing and other supporting services is a result of our fantastic internal culture and focus on customer service.The Clinic Service culture is founded on learning ... read Clinic Service reviews & insights
Founded in 1974 as a medical billing company, Clinic Service has never strayed from its ... read Clinic Service reviews & insights
NA10 - 491974Boulder, United StatesThe Vedas (Vay-duhs) are an ancient collection of the complete knowledge and truth of all aspects of life known to the ancient Indian people.VedaMed believes strongly that knowledge and truth are critical to drive success in a business and allows trust to thrive between VedaMed and its customers. We bring these beliefs to every customer ... read Vedamed reviews & insights
The Vedas (Vay-duhs) are an ancient collection of the complete knowledge and truth of all ... read Vedamed reviews & insights
NA10 - 491980Englewood, United StatesExperienced, Comprehensive Full Revenue Cycle Management WE FOLLOW AND ENFORCE HIPPA/PHI GUIDELINES AND COMPLIANCES. OUR FULL REVENUE CYCLE MANAGEMENT TEAM HAs OVER 15+ YEARS OF EXPERIENCE. WE GUARANTEE MAXIMUM REIMBURSEMENT TO ALL CLIENTS. WE MANAGE YOUR A/R AS WELL AS MONITOR IT AT ALL TIMES. SHORT, LONG TERM AND PROJECT AGREEMENTS FULL REVENUE CYCLE MANAGEMENT ... read Monster Medical Billing reviews & insights
Experienced, Comprehensive Full Revenue Cycle Management WE FOLLOW AND ENFORCE HIPPA/PHI GUIDELINES AND COMPLIANCES. OUR ... read Monster Medical Billing reviews & insights
$25 - $49/hr2 - 9Mesa, United StatesAre you looking for a company to assist your practice with medical billing and claims submission? All Specialty Medical Billing & Consulting is a multi-specialty, professional billing firm dedicated to meeting all of the insurance and patient billing needs of your practice. Our company maintains state-of-the-art hardware and software. We stay up to date on ... read All Specialty Medical Billing & Consulting reviews & insights
Are you looking for a company to assist your practice with medical billing and claims ... read All Specialty Medical Billing & Consulting reviews & insights
NA2 - 9San Mateo, United StatesWe offer full service, turnkey solutions. Let us handle your medical billing & coding, PM software & EMR systems so you can get back to your patients. We believe strongly that knowledge and truth are critical to drive success in a business and allows trust to thrive between us and our customers. We bring these ... read Fast Revenue Billing reviews & insights
We offer full service, turnkey solutions. Let us handle your medical billing & coding, PM ... read Fast Revenue Billing reviews & insights
NA10 - 49Denver, United StatesOur mission is to help physician practices take control of their business. Our bottom line is to keep money in your pocket.
Our mission is to help physician practices take control of their business. Our bottom line ... read Physician Focus reviews & insights
NA2 - 9San Mateo, United StatesWe are your trusted experts for medical billing excellence. Founded by a medical practice, RPM has delivered high-quality results for 10 years to clients across many specialties and care settings.
We are your trusted experts for medical billing excellence. Founded by a medical practice, RPM ... read RPM Medical Billing reviews & insights
NA10 - 492011Greenwood Village, United States
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The four quadrants explained
Each card shows the count of firms in that quadrant and the top 5 by composite score.
Strong execution but broader service mix. High-quality generalists - good fit if your project crosses multiple disciplines in one engagement.
Top 5 by composite score
1Belkins48 / 52Deeply specialised but with moderate market presence. Often the right pick when specialisation matters more than scale - boutique shops with deep technical chops.
Newer entrants and smaller boutiques. Higher risk but often the best price-performance - particularly for early-stage startups or non-mission-critical projects.
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.
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