Discover the best small business accounting firms in the United States that combine expert bookkeeping, tax planning, and financial advisory services with industry-specific insight and hands-on support to help entrepreneurs streamline operations, optimize profitability, and achieve steady growth.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
United States × Small Business Accounting × Insurance × Sort by: Avg Hourly Price: High to Low ×Clear Filters
Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...
Top Services:
- Customer Support
- BPO
- Business Consulting
- Accounting
- Show more
- Location
- Cranberry, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
AVK Global Bookkeeping is here to help you out. They serve the cities of Phoenix, Chandler, Tempe, and Gilbert in addition to the neighboring communities, and they provide a complete variety of services to keep the financial aspects of your organization on track. Owners of businesses are well aware of how...
Top Services:
- Accounting
- Location
- Phoenix, Arizona
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...
Top Services:
- VR/AR
- CRM Consulting
- ERP Consulting
- Business Consulting
- Investment
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
TRUCARE is a trusted medical billing and revenue cycle management company helping healthcare providers simplify billing, improve collections, and maximize revenue...
Top Services:
- BPO
- Business Consulting
- Accounting
- Location
- Bermuda Dunes, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
Using the most up-to-date technology platforms available, Efficienxy will keep your small business running smoothly. Providing efficient and reliable virtual bookkeeping services tailored to solopreneurs, freelancers and service-based businesses...
Top Services:
- Business Consulting
- Accounting
- Location
- Rockville, Maryland
- Number of Employees
- Under 49
- Average Hourly Rate
- $75/hr
- Minimal Budget
- Under $1,000
iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...
Top Services:
- Accounting
- BPO
- Business Consulting
- Call Centers
- HR Outsourcing
- Show more
- Location
- Raleigh , North Carolina
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $50,000 & Up
Simplify your small business finances with our comprehensive bookkeeping guide and services. Learn essential tips, find affordable solutions, and stay organized for success...
Top Services:
- Accounting
- Location
- McLean, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
CoCountant gives you a fully managed finance team that handles your books, reporting, and financial questions all for a fixed monthly fee. We work with startups and growing businesses that are tired of inconsistent freelancers, bloated firms, and DIY tools that only get you halfway there...
Top Services:
- Accounting
- Location
- Cambridge, Massachusetts
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Top Services:
- Customer Support
- BPO
- Market Research
- Transcription Services
- Translation Services
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
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
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
The Dental Services is a US-based dental business solutions provider specializing in billing, credentialing, and practice support services, helping dental clinics streamline operations and improve financial performance through efficient and compliant processes...
Top Services:
- Business Consulting
- Accounting
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...
Top Services:
- BPO
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...
Top Services:
- Business Consulting
- Accounting
- BPO
- Location
- Corona, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...
Top Services:
- BPO
- Accounting
- Location
- Twentynine Palms, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Top Offshore BPO company...
Top Services:
- BPO
- Accounting
- Customer Support
- Market Research
- Web Design
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
Related Accounting Specializations in the US
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Small Business Accounting Firms in the United States FAQs
What services do small business accounting firms in the United States provide?
Small business accounting firms in the United States provide the following services:
- Bookkeeping
- Tax preparation and planning
- Fractional CFO
- Bank reconciliation
- Financial planning
- Payroll management
- Financial statement preparation
- Cash flow management
How much do small business accounting services cost in the United States?
Small business accounting services in the United States cost from $100 to $5,000, depending on the services and hired accountant. Accountants in major cities may charge up to $500 per hour.
The cost of accounting services for a small business will depend on the business size, industry, location, number of transactions, type and frequency of service, and the accountant’s experience level.
Can I get a free consultation from US small business accounting firms?
Yes, many US small business accounting firms offer a free initial consultation to discuss your business needs, review financial challenges, and explain their services. During this meeting you could assess whether the firm’s expertise, pricing, and approach align with your goals before committing to a paid engagement.
How do I choose the right small business accounting firm in the United States?
Choose the right small business accounting firm in the United States by following these steps:
- Define whether you need bookkeeping, tax preparation, payroll, or advisory support services to make sure the accounting firm offers a matching scope
- Look for firms with relevant client history in your sector and verify credentials like CPA licenses or other certifications
- Ensure accounting firms you assess use modern accounting tools, can grow with your business, and offer clear, responsive interaction
- Review reputation and pricing transparency by reading client reviews, asking for case studies, understanding their fee structure, and confirming they prioritize data security and customization
What certifications should US small business accounting firms have?
US small business accounting firms should have licensed Certified Public Accountants (CPAs), the most recognized credential for tax, audit, and financial reporting. Additional certifications like Certified Management Accountant (CMA) for financial analysis and Enrolled Agent (EA) for tax representation add further credibility.
Firms should also follow the ethical and continuing education standards set by the American Institute of Certified Public Accountants (AICPA).
Latest Trends Related to Small Business Accounting
