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Top BPO Service Companies for Medical

56 of 157 BPO service companies ranked on evidence in the Q4 2026 edition.

Between them, the 157 best-ranked of these 159 BPO service companies cover medical billing (61), insurance (56), collections (26) and outsourcing (25). They also list work in Florida, Houston, Tampa and Phoenix. 157 of them have written a profile you can read before you get in touch.

TrustList ranking

Q4 2026 edition

56 of 157 BPO service companies ranked on evidence held on 12 October 2026: client reviews, vetting, awards and facts each business states on its own website, which we read and date. Nobody pays to be placed.

Positions are fixed for the quarter; the next edition is due in January 2027.

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  1. e-care India logo

    Medical Billing · Medical Records · Disaster Recovery · 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.

    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. BillingParadise logo

    Insurance · Collections · Security

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

    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. AnswerPlus logo

    Advertising & Marketing · Business Services · Financial Services

    AnswerPlus is a Canadian-owned call centre that has provided answering services since 1961.

    Why #3: Founded 1961 · Client numbers stated on its own website, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  4. iMarque Solutions logo

    Medical Billing · Insurance · Outsourcing

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

    Why #4: 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.

  5. Anser-fone logo

    Property · Personnel · Tax

    Anser-fone is a telephone answering and inbound call centre business in the intermountain west of the United States, operating since 1952.

    Why #5: Founded 1952, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  6. CCS logo

    Call Center · Outsourcing

    CCS - Customer Contact Services runs outsourced phone and messaging support for organisations ranging from single-doctor practices to very large enterprises.

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

    Not yet on record: client reviews, vetting.

  7. BusComm Incorporated logo

    Insurance · Responsive

    BusComm Incorporated has provided communications technology since March 1972.

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

    Not yet on record: client reviews, vetting.

  8. Call24 Communications logo

    Scheduling · Also in San Francisco Bay Area and California

    Call24 Communications runs a live telephone answering service from Pleasant Hill, California, and has served businesses in the San Francisco Bay Area since 1976.

    Why #8 (shared): Founded 1976, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  9. Cvikota MBS logo

    Medical Billing · Business Services · Reporting · Also in Wisconsin and Knoxville

    Cvikota MBS, short for Cvikota Medical Business Services, is an American medical billing company with more than 50 years in revenue cycle work.

    Why #8 (shared): In business 50+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  10. ebix inc. logo

    Medical Billing · Education · Partners

    ebix inc. offers medical billing and revenue cycle services for independent physician practices.

    Why #8 (shared): Founded 1976, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  11. Direct Line logo

    Call Center · HIPAA Compliant · front · Also in California and United States

    Direct Line - Phone Answering Services provides live telephone answering and call centre cover for businesses in the United States, day and night.

    Why #11: Founded 1979, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  12. Absent Answer logo

    Outsourcing · Scheduling · Routing · Also in Miami and Atlanta

    Absent Answer runs a live telephone answering service and call centre from Jacksonville, Florida.

    Why #12: Founded 1985, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  13. Digicall logo

    Financial Services · Legal · eCommerce

    Digicall is an independent contact centre in Switzerland, operating from the Suisse romande region.

    Why #13 (shared): In business 40+ years, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  14. BELLSYSTEM24 logo

    Security · CRM

    BELLSYSTEM24 runs contact-centre-focused business process outsourcing, pairing its operators with AI in what it calls hybrid intelligence.

    Why #13 (shared): In business 40+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  15. Answering Service Care logo

    Business Services · Real Estate · Legal

    Answering Service Care is a telephone answering company offering live operators alongside automated call tools.

    Why #13 (shared): In business 40+ years · Family-run, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  16. Call Center Sales Pro logo

    Advertising & Marketing · Hospitality & Leisure · Call Center · Also in Minneapolis

    Call Center Sales Pro, also called CCSP, supplies answering services and outsourced business processes for organisations of any size.

    Why #13 (shared): In business 40+ years, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  17. APLV logo

    Security · Internet

    APLV, short for Answer Plus Las Vegas, has run a telephone answering and telemessaging business since 1987.

    Why #17: Founded 1987, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  18. Answering 365 logo

    Property

    Answering 365 (styled Answering365) is an American live answering service operating since 1989, with headquarters in Los Angeles.

    Why #18: Founded 1989, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  19. Denials Management Inc. logo

    Insurance · Legal · CMS

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

    Why #19: Founded 1990, as stated on its own website, read 29 Sept 2026

    Not yet on record: client reviews, vetting.

  20. Healthcare Billing Services, Inc logo

    Goals · Inc · Also in New Orleans

    Healthcare Billing Services, Inc, also called HBS, was founded in 1992 to handle office management and receivables recovery for medical practices.

    Why #20 (shared): Founded 1992, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  21. Bsi Medical Billing logo

    Medical Billing · Insurance · Government

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

    Why #20 (shared): Founded 1992, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  22. EMC logo

    Insurance · 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.

    Why #20 (shared): Founded 1992, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

  23. Billing buddies logo

    Medical Billing · Video

    Billing buddies, styled Billing Buddies, is a medical billing company headquartered in Minnetonka, Minnesota.

    Why #23 (shared): Founded 1994, as stated on its own website, read 28 Sept 2026

    Not yet on record: client reviews, vetting.

  24. Fastnet logo

    Medical Billing · Customer Service · Insurance

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

    Why #23 (shared): Founded 1994, as stated on its own website, read 5 Oct 2026

    Not yet on record: client reviews, vetting.

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