Top BPO Companies in San Antonio, Texas

Researched by:Goodfirms Research TeamUpdated:September 8, 2026

Goodfirms has reviewed 19 BPO Companies in San Antonio, Texas as of September 2026. The top-ranked firm is MediBillMD (5.0 stars, 2 verified reviews, NA, founded 2023, San Antonio). Across the category, the median hourly rate is $25, median client rating is 5, and 26% of firms employ 50+ members. Explore the vetted BPO Companies in San Antonio, Texas below, compare their strengths, and connect with the provider best suited to your requirements.

In need to hire from the business process outsourcing companies in San Antonio? The organizations provide several services like creating promotional activities, payment processes, medical billing, and many more. The BPO services in San Antonio offers a rundown of their services to select the ones they require the most as per the business objectives. They also firstly study your business and its products or services to understand your core activities better and the need for additional assistance. The BPO service providers in San Antonio then create customized services as per the requirements and provide the team accordingly. They also offer 24*7 services to help during emergencies and conduct your activities after working hours for better results. Goodfirms, therefore, to help you find the one meeting your demands, a list of the top BPO companies in San Antonio is made below with their ratings and website link for other information.

19Verified firms
$25/hrMedian hourly rate
5 ★Median rating
26%Have 50+ members

Goodfirms has verified 19 BPO Companies in San Antonio, Texas - part of 6,164+ 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

List of Top BPO Companies in San Antonio | BPO Services in San Antonio

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Service
Hourly Rate
Employees
ReviewsAll Companies
Industry
Client Type
  • MediBillMD ranks among the leading BPO service providers, delivering medical billing, coding, and revenue cycle management solutions to healthcare practices across 45+ specialties nationwide. Headquartered in Dallas, Texas, it stands out as one of the top outsourcing companies for accurate, fast reimbursements—backed by a 98% ... read MediBillMD reviews & insights

    NA
    50 - 249
    2023
    San Antonio, United States
    Wonderful. Overrall experience was GREAT! - Lindsey Waldrop
    Visit Website
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  • Oveana, a Santana Group company and certified minority business enterprise, provides business process outsourcing (BPO) services, contact center services and business process improvement consulting services to its customers. Oveana’s resources help companies conduct business faster, smarter and more profitably.

    < $25/hr
    50 - 249
    2013
    San Antonio, United States
  • Billing Solutions for the Doctor and Patient Bilcorp Medical Billing Services, Inc. is a medical billing company committed to Health Care professionals with innovative solutions to ensure accurate and timely payments. Bilcorp Medical Billing has one priority, increase your profitability while reducing costs. Additionally , we can offer assistance with EMR set-up and other related ... read Bilcorp Medical Billing Services reviews & insights

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • Locally owned and operated, we pride ourselves on over 20 years experience in the medical billing industry. We have worked on behalf of physicians from all specialties in San Antonio, Texas and the surrounding areas. Delivering the best quality service in the industry, we file and follow-up on on claims to yield the best possible ... read Acclaim Medical Billing reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • By outsourcing your billing to the right company, you are assured that your hard work will not be overlooked. You will have the full force of an experienced 'on-shore' based billing team that will follow-up on all your claims, and provide you valuable feedback that can be used to better manage your practice.

    < $25/hr
    2 - 9
    San Antonio, United States
  • We believe that healthcare should be a place where patients feel a sense of safety and tranquility. We help our customers focus more on their patients and employees by taking care of the behind-the-scenes. Our combined 40 years of experience provides us with the necessary tools and resources to execute top of the line results.

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • Psyquel is your total solution for mental health billing. We offer web-based practice mgmt software up to full service billing. Our mission is to facilitate the healing work of mental health providers by increasing their financial profitability, personal freedom and information security with the Psyquel web-based software/mental health billing service. We offer a full range ... read Psyquel reviews & insights

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • Premier Practice Solutions, LLC is a medical billing and practice management company based in San Antonio, Texas, serving doctors and other medical professionals. Our mission is to give you the freedom to focus on delivering quality patient care by providing professional revenue cycle management services that are timely, accurate, reliable, cost effective, and confidential. We ... read Premier Practice Solutions reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • Generating quality leads is key to driving revenue growth. That's where Revvix comes in – our expert team specializes in outbound lead generation and inside sales, delivering a steady stream of qualified prospects that align with your unique needs and goals. With our proven methods and clear communication, we'll seamlessly integrate with your existing sales ... read Revvix reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • TAS United, LLC is a Texas-based telecommunication company with offices in San Antonio, Houston, Austin, Beaumont, Corpus Christi, El Paso, and Lubbock. We provide highly-personalized, secure call processing solutions for our customers throughout the country. Operating from a custom technology platform supported by trained bilingual representatives, TAS United delivers live and automated answering services and ... read TAS United, LLC reviews & insights

    NA
    2 - 9
    San Antonio, United States
  • To exclusively provide medical professionals with an affordable and efficient billing experience to ensure accurate and timely payments. Our experienced staff is dedicated to ensuring that we increase cash flow along with high quality service so that we can retain the highest return to each practice. Progressive Billing is committed to conducting our business practices ... read Progressive Billing reviews & insights

    NA
    10 - 49
    1997
    San Antonio, United States
  • Southwest Answering Service is a privately-owned telephone answering and call center service company. While we offer nationwide coverage, we specialize in live, local answering service agents for our California customers. We’re able to serve a wide range of industries because our exceptional dedication to customer care, responsiveness and attention to detail enables us to handle ... read Southwest Answering Service reviews & insights

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • Creactive, Inc is a full service digital marketing and SEO Company located in Huntington Beach, CA dedicated to providing small business owners superior quality, service, satisfaction, and the capability to become competitive in their respective fields of business. Our firm is the Top SEO company in America for small businesses. We attribute our success to ... read Creactive reviews & insights

    $25 - $49/hr
    50 - 249
    2015
    San Antonio, United States
  • Prime Choice SEO's goal is to help small businesses compete on the digital front utilizing strong internet marketing techniques specifically aimed at attracting the residents of San Antonio, or your local area. Our company values understanding the mission and dreams of our clientele so that we can be passionate about their success. It has always ... read Prime Choice SEO reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • We provide bilingual (English and Spanish) virtual assistants who are college-educated, culturally aligned, and located in your time zone. Our nearshore talent delivers professional, reliable support without the communication gaps or time zone challenges of traditional outsourcing. Whether you need administrative help, customer service, or specialized support, our VAs are ready to work when you ... read GP Outsourcing Solutions reviews & insights

    < $25/hr
    50 - 249
    2016
    San Antonio, United States
  • Marketing, CRM and Sales Automation HubSpot Partner We deliver campaigns that trigger action. If your marketing doesn’t motivate people to do something - it’s not working. That’s why Greaux Digital uses analytics, insights, storytelling, and technology to create immediate and long-term connections between people and brands.

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • We started Top of the Funnel Leads (aka tfleads) in early 2014 because we've seen firsthand that, from start-ups to large enterprises, companies sometimes need more resources, time, or expertise to dedicate to lead generation and do it well. Anyone that has been in sales knows that it is critical to keep the leads pipeline ... read Top of the Funnel Leads reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • Mailgun is the all-in-one, intelligent email delivery platform trusted by businesses, loved by developers. Mailgun is how modern companies work with email. The platform’s ease of use, world-class support, and powerful APIs empower smart development teams to reach real customers at scale with a data-driven approach so their organization can grow faster. Send and track ... read Sinch Mailgun reviews & insights

    NA
    250 - 999
    2010
    San Antonio, United States
  • Web Directive is a small business that helps B2B and B2C companies increase leads, appointments, and sales via processes developed over 15 years through various advertising and organic digital platforms. Interested in reaching out to the U.S. Spanish speaking market, we can help. We're looking for business owners that are interested in continued growth and ... read Web Directive reviews & insights

    < $25/hr
    2 - 9
    2004
    San Antonio, United States

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1 cities with the best Value Score for hiring.

Ranked by a composite blending firm count (supply), average rating (quality), and average hourly rate (cost). Affordability is weighted highest (50%), so this surfaces genuinely affordable destinations - not just the biggest markets.

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 cities ranked by Value Score.

Every city in scope, ranked by Value Score.

CityFirmsAvg RateAvg RatingValue ScoreAction
USSan Antonio19$30/hr583View firms
USSan Antonio
19 firms$30/hr5
Value Score83 / 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

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Cities 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
San Antonio · $0-24/hr

9 firms in this tier - more than any other city. Top picks: Web Directive, Oveana, Acclaim Medical Billing.

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.

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