Partner with leading payroll companies in the United States to accurately, securely, and efficiently manage employee records, process payroll, and file year-end tax reports.
We Selected the Best United States Payroll Companies for You
2 Companies-Rankings updated: September 04, 2026
Every agency on DesignRush meets evaluation criteria around expertise and client feedback to empower informed choices. Some listings include paid partnerships.
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
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Location
Evesham, New Jersey
Number of Employees
50 - 99
Average Hourly Rate
$20/hr
Portfolios Count
3 Projects Listed
SwiftCare Billing LLC Services
BPO
HR Outsourcing
Customer Support
Phone Answering Services
Call Centers
Accounting
Web Design
Web Development
WordPress Website Design
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health Care Industry
Dental Industry
Insurance Industry
HR Industry
BPO
Outsourcing
Medical Billing
Data sourced from the agency's DesignRush profile
SwiftCare Billing LLC Reviews & Testimonials
Julie Formica Office Administrator at Redefine Healthcare
5.0★
Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
At Appletree Business Services, our specialty is providing New Hampshire small business owners Business Financial Confidence with accounting, bookkeeping, payroll and tax services they need, packaged in a combined 'Business Owners Package'...
Top Services:
Accounting
Location
Londonderry, New Hampshire
Number of Employees
Under 49
Appletree Business Services Services
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Cheshire Impact LLC
East Coast Chiropractic LLC
Freedom Dental Arts LLC
Data sourced from the agency's DesignRush profile
Appletree Business Services Reviews & Testimonials
Nathalie leblanc Review from Google
5.0★
Nathalie leblanc's Review Sourced from Google
I just wanted to share how great Diane is!!! She is quick to respond and truly has me and my company's best interest at heart. She even answered a email on a Sunday morning! I wasnt expecting a response until the following day. I am so happy I went with Appletree Services. I have to do a shout out to Kelly as well! Both are sweet and professional.
Grayson Phillips Review from Google
5.0★
Grayson Phillips's Review Sourced from Google
The Appletree team is great. I’ve used them for multiple services, qofe to bookkeeping, and the experience has been top notch. Everyone from the accounting team (shoutout Diane & Jacquelyn) to the owner is invested in our success. I’d recommend them to anyone buying and/or running a small business. I almost want to buy another business just to go through the Appletree experience again.
Mike Romanowicz Review from Google
5.0★
Mike Romanowicz's Review Sourced from Google
We absolutely love working with Appletree Business. Kirsten and Rachel are incredible — responsive, thoughtful, and just a joy to collaborate with. Before switching to Appletree, we had a bloated, expensive CFO solution that was way more than our small company needed. Making the switch was one of the best decisions we’ve made. Appletree gives us clean, clear reporting, super fast turnaround on any changes, and most importantly, it feels like working with real people who care. If you're still stuck with an overkill CFO setup, do yourself a favor: fire them and hire Appletree.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
What should I look for when hiring a payroll company in the United States?
When hiring a payroll company in the United States, look for the following attributes to verify its reliability and credibility:
Relevant experience: Seek case studies similar to your business structure and industry
Regulatory knowledge: Verify its understanding of the geographic and industry-specific tax, labor, and payroll regulations regarding your business
Client reviews: Request verifiable client references and reviews to assess service quality and customer satisfaction
Tech stack: Check if the payroll, accounting, and HR solutions can scale and integrate with your system
Clear processes: Assess if it has a structured payroll process, including tax filing, error resolution, and compliance checks
Transparent reporting: Look for clear, accurate, and timely payroll reporting
Reliable support: Ensure access to a dedicated support team, available 24/7 or during extended hours for quick resolution and emergency cases
Up-to-date knowledge: See if its articles, blogs, and other content demonstrate understanding of the latest laws and regulations
Compliance standing: Examine if the US payroll company adheres to IRS and DOL regulations for its own operations and employees, as this reflects its ability to manage your company’s payroll activities
What factors affect the pricing of payroll services in the United States?
The key factors that affect payroll services in the United States include:
Company size: Payroll companies conventionally charge per employee, making bigger team sizes more expensive.
Service scope: Tax filing, benefit administration, and year-end reporting are often considered an add-on to the base fee.
Service frequency: Weekly or bi-weekly payroll schedules require more resources than a monthly schedule, resulting in higher costs.
Compliance requirements: Global, multi-state, and industry-specific regulations (e.g., union rules and healthcare) add to the complexity of payroll computation.
Support and service level: Higher-tier services, such as a dedicated account manager or 24/7 human support teams, have premium fees.
Technology stack: Data migration, system configuration, and employee training usually appear as one-time setup fees.
On average, you can expect to pay a monthly base fee of $50-$80 and an additional $6-$12 per employee per month.
How can I verify the credentials of a United States payroll company?
You can verify the credentials of a United States payroll company by:
Analyzing its use and knowledge of the Electronic Federal Tax Payment System
Checking its Employer Identification Number (EIN) and registration in the Secretary of State
Assessing the company’s IRS and DOL track record
Asking about its PayrollOrg membership and individual team certification (e.g., Fundamental Payroll Certification (FPC) and Certified Payroll Professional (CPP
Ensuring the company has Certified Public Accountants (CPA) on its team
Seeing if its SOC2, ISO, BBB, and other certifications are up to date
What red flags should I avoid when selecting a payroll company in the United States?
When selecting a payroll company in the United States, avoid the following red flags:
Outdated knowledge on the state and federal labor and tax laws
No proven track record in your industry and business locations, including case studies and client references
Overwhelmingly negative reviews and poor customer service
History of missed filing deadlines, deposit dates, and data inaccuracies
Ambiguous payroll and mid-year onboarding processes
Weak data security practices
Lack of error ownership
Lack of pricing transparency
What questions should I ask a United States payroll company before hiring?
Ask these questions before hiring a United States payroll company to gauge their expertise:
What is your experience in handling multi-state and global employees?
How do you stay up to date with the latest regulatory issues and changes?
Can you provide case studies and client references of businesses similar to ours?
What technologies do you use, and how will you integrate them into my system?
What is your approach to compliance, security, and error resolution?