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.
We Have Listed the Best US Small Business Accounting Firms For You
3 Companies-Rankings updated: September 13, 2026
DesignRush assesses agencies using expertise standards and verified client experiences to help you make better decisions. Certain agencies have paid placements.
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
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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
Call Centers
Accounting
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
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
Top Services:
Call Centers
Accounting
BPO
PPC
Digital Marketing
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Location
Las Vegas, Nevada
Number of Employees
Under 49
Equivity, Inc. Services
Call Centers
Accounting
BPO
PPC
Digital Marketing
Email Marketing
Graphic Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Legal Industry
Real Estate Industry
Finance Industry
Data sourced from the agency's DesignRush profile
Equivity, Inc. Reviews & Testimonials
Melina Montes Review from Google
5.0★
Melina Montes's Review Sourced from Google
Equivity has been a great addition to our business. Their proactive approach, commitment, and attention to detail have played a great role in the success of our operations. Equivity truly went the extra mile to understand our operation and assemble an exceptional support team! Their representatives demonstrate a high level of professionalism and consistently provide excellent customer service. Equivity is the perfect choice if you're seeking top-tier service tailored to meet your business needs.
Excellence Team Review from Google
5.0★
Excellence Team's Review Sourced from Google
Equivity is a game-changer. Their team is highly knowledgeable and skilled in customizing their services to match our specific needs, which is super impressive. They frequently ask for our feedback and are quick to adapt to our requirements. Highly recommended!
Amanda Estey Review from Google
5.0★
Amanda Estey's Review Sourced from Google
I've always been able to get quality help in a timely manner when using Equivity Virtual Marketing Assistants. Highly recommend them for both short and long term solutions. The team is wonderful to work with and will source the right talent for your needs.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Small Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
Business Consulting
Market Research
Accounting
BPO
CRM Consulting
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Location
Chicago, Illinois
Number of Employees
Under 49
Average Hourly Rate
$150/hr
Minimal Budget
$1,000 - $10,000
Portfolios Count
3 Projects Listed
Fred Lundin CPA LLC Services
Business Consulting
Market Research
Accounting
BPO
CRM Consulting
ERP Consulting
Cybersecurity
IT Services
IT Compliance Solution
Cloud Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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).
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