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 ×Clear Filters
  • Understanding you makes us better. That is how we work smarter.

    ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...

    Top Services:

    • BPO
    • Accounting
    Location
    Hillsborough Township, New Jersey
    Number of Employees
    250 - 499
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    8 Projects Listed
  • Offshore Data Entry Service: Precision, Speed and Security

    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
  • Precision Billing, Maximum Revenue, Minimal Risk.

    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
  • Medical Credentialing, Payer Contracting, & Billing

    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
  • Your Finance Team Bookkeeping, Accounting & Strategy for One Monthly Price

    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
  • Streamline your small business bookkeeping & reach your business goals.

    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
  • Dedicated virtual assistants, fully vetted and fully managed.

    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
  • 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
  • We Simplify Your Finances

    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
  • Medical Billing & RCM Company For Healthcare Practices

    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
  • Simplifying Billing. Maximizing Revenue.

    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
  • Expert Talent Solutions

    At the forefront of Talent Solutions, AccruePartners is your source for today’s top talent. Our proven proprietary business systems combined with an unwavering commitment elevates our company to the forefront of the recruiting industry. With predictable precision, we deliver top-tier talent solutions across...

    Top Services:

    • HR Outsourcing
    Location
    Charlotte, North Carolina
    Number of Employees
    250 - 499
  • Guiding Your Finances With Precision and Insight

    Red Bike Advisors is a modern accounting firm that delivers strategic financial guidance, tax planning, and advisory services to help businesses grow with confidence...

    Top Services:

    • Accounting
    Location
    Wilmington, North Carolina
    Number of Employees
    Under 49
  • Exceed Your Expectations!

    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
  • Together, We Can Create Your Financial Roadmap To Success

    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
  • Integrity in Every Financial Endeavor.

    Client Tax Services offers professional tax and accounting solutions to both individuals and businesses. With a commitment to exceptional service and accessibility, its team simplifies the complexities of tax compliance. Clients trust Client Tax Services to navigate the intricate world of taxation with...

    Top Services:

    • Accounting
    Location
    San Francisco, California
    Number of Employees
    50 - 99
  • Affordable bookkeeping service with 100% error free reports.

    A New York-based firm offering expert bookkeeping and QuickBooks consulting services to businesses of all sizes...

    Top Services:

    • Accounting
    Location
    New York City, New York
    Number of Employees
    Under 49
  • Business Made Better

    ProfitWerx helps small businesses in Klamath Falls and surrounding communities get more from their technology and online presence. We provide professional IT services, technical support, web design, and SEO solutions designed to help businesses run better and grow...

    Top Services:

    • IT Services
    • Managed Services
    • Cybersecurity
    • Web Design
    • SEO
    • Show more
    Location
    Klamath Falls, Oregon
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Co-create Smarter Businesses.

    WNS is a global, digital-led business transformation and services company providing comprehensive data engineering, analytics, AI/GenAI, and business-process services enabling enterprises to modernize data infrastructures, unlock insights, and scale data-driven decision-making...

    Top Services:

    • Big Data Analytics
    • Accounting
    • AI Development
    Location
    New York City, New York
    Number of Employees
    1000 & Up
  • Dental Billing Service

    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
  • Your Trusted Partner For All Your Business Needs

    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
  • Specialty-Focused Medical Billing That Boosts Revenue Fast and Easily

    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
  • Driven by Excellence

    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

Related Accounting Specializations in the US

Popular Services

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
130,200+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
23

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

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:

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:

  1. Define whether you need bookkeeping, tax preparation, payroll, or advisory support services to make sure the accounting firm offers a matching scope
  2. Look for firms with relevant client history in your sector and verify credentials like CPA licenses or other certifications
  3. Ensure accounting firms you assess use modern accounting tools, can grow with your business, and offer clear, responsive interaction
  4. 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).