Top BPO Service Companies for Insurance

Between them, the 95 best-ranked of these 96 BPO service companies cover medical (62), medical billing (34), outsourcing (22) and security (15). They also list work in United States, Arizona, Phoenix and Florida. 95 of them have written a profile you can read before you get in touch.

1. 1

   

   e-care India

   Medical Billing · Medical · Outsourcing · Also in Louisiana and Dallas

   e-care India provides offshore medical billing and coding, mainly for physicians in the United States and the revenue cycle companies that serve them.

   Write a review

   Why #1: Founded 2000 · ISO 9001, ISO 27001 · Team of 1,500+, as stated on its own website, read 29 Sept 2026

   Not yet on record: client reviews, vetting.

2. 2

   

   BillingParadise

   Medical · Security · Collections

   BillingParadise is a third-party revenue cycle management company handling billing and related operations for hospitals, health systems and physician practices in the US.

   Write a review

   Why #2: In business 21+ years · SOC 2 · Team of 600+, as stated on its own website, read 28 Sept 2026

   Not yet on record: client reviews, vetting.

3. 3

   

   Greenwave

   Education · Partners · Charity

   Greenwave, operated by Roheline Laine OÜ, handles insurance claims and provides round-the-clock emergency assistance in the Baltic region and elsewhere in Europe.

   Write a review

   Why #3: Founded 2002 · ISO 9001, as stated on its own website, read 29 Sept 2026

   Not yet on record: client reviews, vetting.

4. 4

   

   Insuresoft

   Security · Administration · Goals

   Insuresoft delivers core systems for the property and casualty insurance industry.

   Write a review

   Why #4: In business 30+ years · Client numbers stated on its own website, as stated on its own website, read 28 Sept 2026

   Not yet on record: client reviews, vetting.

5. 5

   

   iMarque Solutions

   Medical Billing · Medical · Outsourcing

   iMarque Solutions Pvt Ltd is an outsourcing company based in India that provides business process services to clients around the world.

   Write a review

   Why #5: In business 20+ years · Team of 2,700+, as stated on its own website, read 29 Sept 2026

   Not yet on record: client reviews, vetting.

6. 6

   

   BusComm Incorporated

   Medical · Responsive

   BusComm Incorporated has provided communications technology since March 1972.

   Write a review

   Why #6: Founded 1972, as stated on its own website, read 28 Sept 2026

   Not yet on record: client reviews, vetting.

7. 7

   

   AnswerMTI

   Real Estate · Outsourcing · simple · Also in York and Atlanta

   AnswerMTI is an answering service and inbound call centre headquartered in Atlanta, GA, working since 1982.

   Write a review

   Why #7: Founded 1982, as stated on its own website, read 28 Sept 2026

   Not yet on record: client reviews, vetting.

8. 8

   

   Business Centers of Missouri

   Scheduling · Backup · Also in Illinois

   Business Centers of Missouri, Inc. runs telephone answering and call centre services for companies that need their calls covered around the clock. It serves clients in St.

   Write a review

   Why #8: In business 43+ years, as stated on its own website, read 28 Sept 2026

   Not yet on record: client reviews, vetting.

9. 9

   

   Denials Management Inc.

   Medical · Legal · CMS

   Denials Management Inc., which now trades as FixMyClaim, helps patients and healthcare providers deal with health insurance claims that have been refused.

   Write a review

   Why #9: Founded 1990, as stated on its own website, read 29 Sept 2026

   Not yet on record: client reviews, vetting.

10. =10

    

    EMC

    Medical · Reporting · Personnel · Also in Las Vegas

    Electronic Medical Claims Billing Center, or EMC, is a medical billing service in Las Vegas, Nevada. It was set up in 1992 by Roberta Brown and is now under new ownership.

    Write a review

    Why #10 (shared): Founded 1992, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

11. =10

    

    Bsi Medical Billing

    Medical Billing · Medical · Government

    Medical billing, coding, credentialing and auditing services for physician practices and healthcare providers since 1992

    Write a review

    Why #10 (shared): Founded 1992, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

12. 12

    

    Fastnet

    Medical Billing · Customer Service · Medical

    Fastnet Medical Billing handles billing for healthcare providers, from insurance checks to collections.

    Write a review

    Why #12: Founded 1994, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

13. =13

    

    Fast Track Medical Billing LLC

    Medical Billing · Medical · Also in New Jersey and Florida

    Fast Track Medical Billing LLC is a medical billing company that manages insurance claims and billing for doctors' offices.

    Write a review

    Why #13 (shared): Founded 2000, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

14. =13

    

    360 Medical Billing Solutions

    Medical Billing · Medical · Collections · Also in Houston

    360 Medical Billing Solutions handles billing, coding and revenue cycle work for emergency and urgent care providers in the United States.

    Write a review

    Why #13 (shared): Founded 2000, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

15. =15

    

    GCS Agents

    Consumer Products & Services · Financial Services · Business Services · Also in New York and York

    GCS Agents, trading as Global Contact Services, runs outsourced contact centres for companies and public bodies.

    Write a review

    Why #15 (shared): Founded 2001, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

16. =15

    

    Jabz Medical Billing

    Medical Billing · Medical · Personnel

    Jabz Medical Billing is a billing and collections service for medical practices. Its staff say they have worked in this field for over 25 years.

    Write a review

    Why #15 (shared): In business 25+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

17. 17

    

    Grindstone

    Lead Generation · Security · Analytics · Also in Maryland and North America

    Grindstone is a B2B sales support company that generates leads and books appointments for other businesses.

    Write a review

    Why #17: Founded 2003, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

18. =18

    

    ExpertCallers

    Outbound Call Center · Call Center · Customer Service · Also in Alberta

    ExpertCallers is a business process outsourcing company running customer support, outreach and back-office work for other firms.

    Write a review

    Why #18 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

19. =18

    

    Calling 24o7

    Security · Automotive

    Calling 24o7 is an outsourced contact centre and BPO provider in India, with its operations in Pune.

    Write a review

    Why #18 (shared): In business 20+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

20. =18

    

    Heartland Medical Billing & Consulting

    Medical Billing · Medical · simple · Also in Pennsylvania and United States

    Heartland Medical Billing & Consulting handles insurance billing for medical practices so clinicians can spend their time on patients.

    Write a review

    Why #18 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

21. =18

    

    Howard Medical Billing

    Medical · Also in Indiana

    Howard Medical Billing, Inc. is a billing company that helps Indiana doctors manage the financial side of their practices.

    Write a review

    Why #18 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

22. 22

    

    3 Way Marketing

    Telecommunications · Banking

    3 Way Marketing, now trading as 3Way Group, generates sales leads and marketing data for consumer brands.

    Write a review

    Why #22: Founded 2007, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

23. 23

    

    ApexRCM

    Medical · Outsourcing · Collections

    ApexRCM is a medical billing and collections company run from Freehold, New Jersey.

    Write a review

    Why #23: Founded 2009, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

24. =24

    

    GENR8 Marketing

    Education · simple · Internet · Also in Nebraska

    GENR8 Marketing, written GenR8, is a small family-owned digital marketing consultancy in Lincoln, Nebraska, set up in 2010.

    Write a review

    Why #24 (shared): Founded 2010 · Family-owned, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

Articles

Related reading

Articles on this subject first, then the newest.

All articles

Denmark

8 Oct 2026 · TrustList Editorial

TODAY raises €2.8m seed for AI agents serving financial advisors

The Copenhagen and Berlin start-up, founded in 2024 by two former CLARK, Funding Circle and Billie leaders, says more than 3,500 advisers…

Canada

7 Oct 2026 · TrustList Editorial

Polygrade raises $6.3m seed for AI agents that handle warranty claims

The Toronto company, formerly called ProPay, emerges from stealth with two named home warranty customers and plans to move into extended…

India

7 Oct 2026 · TrustList Editorial

Desible.ai raises ₹32 crore to scale voice AI for banks

The Bengaluru company says its agents handle calls for banking and insurance clients and will use the Seed Plus money to widen Indian…