Last updated: 2026-08-21
Honest Taskers, AGS Health, and Access Healthcare lead this year's shortlist of healthcare BPO companies, nine firms ranked on where the work is physically performed, scale and client references, published pricing, service breadth, and compliance credentials. Delivery location leads the comparison here because business process outsourcing means your patient data leaves your building, and five of these nine never say which country it lands in. Below we set out the choice between offshore, onshore and staffing, whether your BAA can name where the work happens, what it costs, whether every delivery country is named, and what counts as success first.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2AGS Health
- 3Access Healthcare
- 4Omega Healthcare
- 5Cloudstaff
- 6Sagility
- 7Transcure
- 8Staffingly
- 9Firstsource
On this page
- How we chose these companies
- Companies compared
- The 9 companies
- Should you choose offshore BPO, onshore, or staffing?
- Can your BAA name where the healthcare BPO work happens?
- How much does healthcare BPO cost?
- Does the healthcare BPO company name every delivery country?
- What counts as success before you move a process to healthcare BPO?
- Methodology and sources
How we chose these companies
Business process outsourcing is distinguished from ordinary vendor work by one thing: a process that used to happen inside your organization now happens inside someone else's, usually in another country. That makes delivery location the first question rather than a detail for the security review, and it's the axis this comparison leads on. Chennai, Manila, Bogota, and Lahore are all normal answers. No answer at all is not, and it's the most common answer in this field.
We compared five things: stated delivery locations, scale and client references, published pricing, service breadth, and compliance credentials including HIPAA posture. Four firms here name their delivery countries plainly. Five don't, including two that publish detailed capability pages while never saying where a single person sits. That asymmetry is the most useful finding in this article, because your business associate agreement has to cover wherever the work happens.
Scale and references matter differently in BPO than in staffing. When you buy an operation rather than people, you're buying the vendor's process maturity, and the honest proxies for that are named reference clients at your own size and published retention. AGS Health names Banner Health and Baylor Scott and White. Sagility publishes an 18-year average client tenure and 95% client retention. Those are checkable in a way that a capability list isn't.
Compliance should be a gate rather than a tiebreaker. Every firm here handles protected health information, so the business associate agreement the U.S. Department of Health and Human Services requires is the floor. What separates the field is documentation: Cloudstaff and Staffingly name certifications and who issued them, while several larger firms name nothing at all. For what the same work costs locally, the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics puts customer service representatives at a median $21.53 an hour, roughly $44,770 a year.
Companies compared
| Company | Delivery locations (as stated) | Scale and references (as stated) | Published pricing | Service breadth | Compliance credentials (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Recruits in the Philippines, Latin America, India and Pakistan; works the client's US time zone | 99.6% average monthly retention | $10.00 to $12.65/hr | Admin, front office, billing, coding, scribing, care coordination | Compliance officer; HIPAA verified by Accountable; BAA when PHI is accessed; SOC 2 audit ready |
| AGS Health | Washington DC headquarters; Chennai, India delivery center | Names Banner Health and Baylor Scott & White | Not publicly listed | Coding, claims, AR, denials, prior auth, enrollment, CDI | Cybersecurity Transparent Designation 2023; no SOC 2, ISO or HITRUST named |
| Access Healthcare | Dallas, Texas; Chennai, India; Manila referenced | States a 60% reduction in cost to collect | Not publicly listed | RCM, payer BPO, patient access, autonomous coding | Not stated |
| Omega Healthcare | Boca Raton, Florida; career locations US, Philippines, India, Colombia | Cites a 97.8/100 KLAS score, February 2026 | Not publicly listed | RCM, care coordination, data curation, payer ops, drug access | Not stated |
| Cloudstaff | Philippines, Colombia, India, Kenya | 1,000+ companies; 99.5% monthly staff retention | Not publicly listed | Managed teams across healthcare and other verticals | HIPAA; ISO 27001, ISO 9001, PCI-DSS, GDPR; 99.99% SecurityScorecard |
| Sagility | Not stated on its homepage | 7 of 10 top health plans; 18-year average client tenure; 95% client retention | Not publicly listed | Claims, membership, payment integrity, network ops, payer clinical | Not stated |
| Transcure | Texas, New Jersey, Florida offices; 1,100+ certified billers and coders | 40+ specialties, small practices through health systems | 3% to 5% of monthly collections | Billing, coding, audits, MIPS, eligibility, credentialing | ISO 27001; AAPC-certified staff |
| Staffingly | India, Pakistan, Bangladesh | Not publicly listed | $399/wk at 45 hrs; $349 at 5+; $299 at 10+ | Billing, coding, prior auth, scribing, front office | SOC 2 Type II; ISO/IEC 27001:2022; HIPAA; GDPR; signed BAA; $5M E&O and cyber policy |
| Firstsource | Not stated | Not stated | Not publicly listed | Customer experience, intelligent back office, AI-driven collections | Not stated |
1. Honest Taskers
Best for: practices that want offshore economics without handing over the process itself.
Recruiting: PH, LatAm, India, PakistanPricing: $10.00 to $12.65/hrCoverage: Client's US time zoneRetention: 99.6% monthly
Honest Taskers is the alternative to business process outsourcing rather than a version of it, and for most practices under twenty providers that's the more sensible purchase. You get offshore cost structure through recruiting in the Philippines, Latin America, India, and Pakistan, but the people work inside your own EHR and phone system on your US hours, and your process stays yours. Nothing gets redesigned by a vendor, and no data moves into someone else's platform.
It publishes what much of this field doesn't: rates of $10.00 to $12.65 an hour, four named recruiting regions, and 99.6% average monthly retention supported by healthcare coverage for eligible team members, interest-free loans, wellness programs, and performance-based raises. Compliance runs on quarterly HIPAA and data privacy training led by a dedicated compliance officer, a Business Associate Agreement signed where the professional will access PHI, remote work screening covering a dedicated password-protected computer with VPN and antivirus requirements, and a security environment described as SOC 2 audit ready, with HIPAA compliance verified by Accountable. A two-week working trial applies to the first hire. See the multi-purpose virtual medical assistant page for scope.
Limitation: we're not an enterprise BPO. If you're buying an operation with contracted throughput targets for a hospital system, the firms below at positions two through four are the right tier and we aren't.
2. AGS Health
Best for: health systems that want a named delivery center and reference clients at their scale.
Delivery: Washington DC and ChennaiPricing: Not publicly listedClients: Banner Health, Baylor Scott & WhiteScope: Coding through CDI
AGS Health is the clearest enterprise entry here on the two things that matter most in BPO: where the work happens and who else buys it. It publishes a Washington DC headquarters and a Chennai delivery center, and names Banner Health and Baylor Scott and White as clients, which gives a health system a reference point at its own scale rather than a capability claim. Coverage runs from coding, claims, and accounts receivable through denials, prior authorization, provider enrollment and credentialing, to clinical documentation improvement, so it can take a whole revenue cycle rather than a slice.
Limitation: its only named credential is a 2023 cybersecurity designation rather than SOC 2, ISO, or HITRUST, and it's built for systems, so a small practice will be the wrong size of buyer.
3. Access Healthcare
Best for: organizations wanting automation folded into the outsourced operation.
Delivery: Dallas, Chennai, ManilaPricing: Not publicly listedScope: RCM, payer BPO, autonomous codingClaim: 60% cost-to-collect reduction
Access Healthcare publishes a Dallas headquarters and a Chennai delivery address with job postings also naming Manila, so its footprint spans two of the three main offshore regions. Its distinguishing feature is that automation is part of the operation rather than a separate product, with an automation platform including autonomous coding sitting alongside revenue cycle services, payer BPO, and patient access and engagement. Client types are unusually broad, covering hospitals and health systems, revenue cycle partners, dental groups, and health plans.
Limitation: the headline 60% cost-to-collect reduction is company-reported with no published methodology, and the site names no certifications, pricing, or headcount to weigh against it.
4. Omega Healthcare
Best for: organizations outsourcing more than revenue cycle.
Locations: Boca Raton; US, PH, India, ColombiaPricing: Not publicly listedLines: Five, including care coordinationScore: KLAS 97.8/100, Feb 2026
Omega Healthcare covers the widest scope in this article, running revenue cycle management across front, middle, and back office alongside care coordination, health data curation, payer operations, and drug access and affordability. For an organization whose outsourcing question extends past claims into patient outreach or data work, that breadth means one vendor rather than three. It publishes a Boca Raton headquarters with career locations in the US, Philippines, India, and Colombia, and cites a 97.8 out of 100 KLAS performance score from February 2026.
Limitation: the scale statistics on its own site render as placeholders rather than numbers, and no certifications are stated, so both size and security need establishing directly.
5. Cloudstaff
Best for: buyers whose security review needs named, issued certifications.
Locations: PH, Colombia, India, KenyaPricing: Not publicly listedRetention: 99.5% monthly staffCerts: ISO 27001, PCI-DSS, GDPR
Cloudstaff publishes both halves of what a BPO security review asks for: four named delivery countries and a full certification set covering HIPAA, ISO 27001, ISO 9001, PCI-DSS, and GDPR, with a 99.99% SecurityScorecard rating. It reports 99.5% monthly staff retention and serving over 1,000 companies. Among firms operating at real offshore scale, it's the one most likely to clear a procurement checklist without a discovery call, which is worth more than it sounds when the alternative is three weeks of questionnaires.
Limitation: healthcare is one vertical among many with no medical roles itemized, and no pricing is published, so clinical depth and cost both need testing.
6. Sagility
Best for: health plans and payer-side operations.
Delivery: Not stated on homepagePricing: Not publicly listedClients: 7 of 10 top health plansRetention: 95% client
Sagility is the payer specialist here, covering claims and membership management, payment integrity, provider network operations including credentialing and directory management, and payer clinical services such as utilization and care management. Its strongest published facts are relational: an 18-year average client tenure and a 95% client retention rate, which in a market where switching costs are enormous is the metric that predicts your experience. It states that it serves seven of the ten top health plans.
Limitation: a provider organization buys from the smaller half of its business, and its homepage names neither delivery locations nor certifications, which for a BPO comparison is the wrong two things to omit.
7. Transcure
Best for: organizations that want US-based delivery at a published percentage.
Offices: Texas, New Jersey, FloridaPricing: 3% to 5% of collectionsStaff: 1,100+ certified billers and codersCert: ISO 27001
Transcure is the only firm here publishing what an outsourced revenue cycle costs, at 3% to 5% of monthly collections, which makes it the reference point against which every unpriced quote in this article should be read. It names offices in Texas, New Jersey, and Florida and a team of over 1,100 certified billers and coders, and covers billing, coding, audits, MIPS reporting, eligibility, and credentialing across more than 40 specialties. It states ISO 27001 and AAPC certification, which is more credential detail than most of the enterprise tier discloses.
Limitation: percentage pricing rises with your revenue, and while it names US offices, it doesn't state whether all delivery happens there, so ask directly.
8. Staffingly
Best for: smaller organizations wanting BPO economics at a flat weekly cost.
Locations: India, Pakistan, BangladeshPricing: $399/wk at 45 hrsVolume: $349 at 5+, $299 at 10+Cover: $5M E&O and cyber
Staffingly gives smaller organizations the offshore cost structure of BPO without an enterprise contract, at $399 a week per full-time equivalent covering 45 hours, dropping to $349 at five or more people and $299 at ten or more, roughly $6.64 an hour at volume. It names its three delivery countries and covers billing, coding, prior authorization, scribing, and front office. Its compliance disclosure is the most complete in this article, naming SOC 2 Type II, ISO/IEC 27001:2022, HIPAA, GDPR, a signed business associate agreement, and a $5 million errors and omissions and cyber policy.
Limitation: its workflow is AI-assisted with a person verifying output rather than fully human, which changes what you're buying and needs pinning down precisely.
9. Firstsource
Best for: organizations already buying across several industries from one BPO partner.
Delivery: Not statedPricing: Not publicly listedIndustries: Nine, including providersModel: Single accountable team
Firstsource lists healthcare providers and health plans among nine industries served, offering customer experience, intelligent back office covering document, transaction, and exception processing, and AI-driven collections. Its stated model is that strategy, build, and run are handled by one accountable team rather than split between vendors, which is a genuine differentiator for an organization tired of managing the seams between three suppliers.
Limitation: healthcare is one of nine industries and its site publishes no delivery locations, no certifications, and no scale figures, so it ranks last here on disclosure rather than on capability.
Should you choose offshore BPO, onshore, or staffing?
Offshore BPO is where most of this market operates, with Chennai, Manila, Bogota, and Lahore doing the work at a fraction of US labor cost. The economics are real and the compliance framework is workable, since HIPAA sets no geographic restriction on processing. What you're accepting is distance from the work, a night shift on the vendor's side, and a business associate agreement that has to cover every country in the chain.
Onshore delivery costs more and buys you time-zone alignment, easier oversight, and a simpler answer when a patient or a board member asks where their data goes. Transcure names US offices and prices at 3% to 5% of collections, which is the only published figure here for what that looks like.
Staffing is the third route and the one most practices should consider first. Instead of moving a process out, you add people into the process you already run, at $6.64 to $12.65 an hour. You keep control and visibility; you also keep the work of managing it. BPO makes sense when the process needs owning by someone else. Staffing makes sense when it just needs more hands.
Can your BAA name where the healthcare BPO work happens?
- Delivery location unpublished, so your BAA can't name where the work happens.
- Certifications absent entirely, which is common here even among the largest firms.
- Performance claims with no published methodology behind them.
- Enterprise contracts quoted to organizations far below that scale.
- Process redesign that leaves you unable to bring the work back in-house.
- Subcontracting down the chain, so a fourth party handles your data.
- AI-assisted workflows sold as human operations, with an undefined verification step.
- Reporting that shows activity rather than outcomes.
- Exit terms that strand your data, credentials, and payer portal access with the vendor.
How much does healthcare BPO cost?
Only three of these nine publish a price. Transcure lists 3% to 5% of monthly collections, Staffingly $399 a week at 45 hours falling to $299 at ten or more people, and Honest Taskers $10.00 to $12.65 an hour. The six enterprise firms quote against a contracted scope.
When a vendor won't publish, the useful move is to price the alternative yourself before the call. Take the function you're outsourcing, estimate the hours it consumes, and multiply by the published staffing rates above. That gives you a floor, and any BPO proposal above it has to justify the gap with something specific: throughput, accountability, technology, or scale you can't buy in hours. Sometimes the justification is real, and more so at hospital volume. Often it isn't, and the gap is packaging. Rates move, so confirm before you sign.
Does the healthcare BPO company name every delivery country?
- Every delivery country named in writing, including subcontractors.
- A signed BAA covering the whole chain before access is granted.
- Named certifications and who issued them.
- Reference clients at your own scale.
- Published retention, client or staff, as a proxy for stability.
- Pricing modelled against your volume, not a headline claim.
- Whether AI performs the work and who verifies it.
- Reporting that shows outcomes rather than activity.
- Exit terms covering data, credentials, and portal access.
What counts as success before you move a process to healthcare BPO?
- Name the process you're moving out and the result that would count as success.
- Price it yourself at staffing rates first, so you have a floor.
- Shortlist firms that publish a delivery location.
- Ask each which countries touch your data, including subcontractors.
- Ask for certifications, and for who audited them.
- Ask for a reference client at your own scale.
- Agree reporting, escalation, and exit terms before signing.
- Move one process, not the department.
- Review at 30 and 90 days against the result you named at step one.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording stated delivery locations, scale and client references, published pricing, service breadth, and compliance credentials. Business associate requirements come from the U.S. Department of Health and Human Services, which sets no geographic restriction on processing. Anything unpublished is marked "not publicly listed" rather than inferred, and performance figures a company states about itself are labelled company-reported. R1 RCM and GeBBS Healthcare Solutions both block automated retrieval, so neither could be read from source despite belonging in this tier. Conifer Health, Optum, Infosys BPM and Cognizant TriZetto surfaced in search but were not verified from source. This list and our other outsourcing guides share some companies, because they are keyword variants of one buying question rather than separate markets; the ranking here leads on delivery location and scale, which produces a different order and a different roster from our broader healthcare outsourcing guide.
Related outsourcing guides
If offshore access to patient data is the concern, our guide on whether offshore virtual assistants can access PHI covers the rules.
If staffing is the better fit, our multi-purpose virtual medical assistant page sets out the scope.
Speak with Honest Taskers about outsourcing your admin workload.