Our directory of top accounting firms in the US is built on five main ranking criteria and reviewed by a team of 12 experts, supported by a 4.1-star average rating from verified client reviews. This gives you a clear and reliable way to choose the best accounting firms for your business.

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 × Health Care × Sort by: Avg Hourly Price: High to Low ×Clear Filters
  • Keeping Everything Connected

    Outsourced Accountants and CFOs, Specializing in NetSuite, QuickBooks, And more niche accounting software integration...

    Top Services:

    • Business Consulting
    • Customer Support
    • Accounting
    Location
    Atlanta, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $1000/hr
  • Transform the Way You Grow

    Raseed is business management software for sales, inventory, expenses, customers, billing, and reports, all managed from one place...

    Top Services:

    • Accounting
    • Software Development
    Location
    Round Rock, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $500/hr
    Minimal Budget
    Under $1,000
  • That is why we take a holistic approach to assisting clients with growing, managing, and protecting their hard work. With more than 180 professionals across 9 locations, we partner with many of the regions most trailblazing and passionate leaders and organizations...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Winchester, Virginia
    Number of Employees
    100 - 249
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • People-first Hr With Practical Integrity

    HR Advantage Consultants is a people-centered HR consulting firm that helps businesses build stronger teams, improve workplace practices, and navigate HR challenges with confidence. We provide customized support in recruiting, employee relations, compliance, performance management, training, leadership...

    Top Services:

    • HR Outsourcing
    • Accounting
    Location
    Palm Desert, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Stop Making It Work. Start Making It Happen.

    At KDG, we're your full-service partners in growth and innovation. With our integrated approach to professional technology, accounting, and consulting services, we give modern leaders and executives control over their outcomes...

    Top Services:

    • AI Development
    • Software Development
    • Managed Services
    • IT Services
    • Cybersecurity
    • Show more
    Location
    Allentown, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    8 Projects Listed
  • Clean Books Sharp Technology Real Humans

    Acuity is a technology-driven accounting and financial services firm that provides bookkeeping, tax, controller, CFO, and advisory solutions for entrepreneurs and growing businesses. The company combines dedicated financial experts, proven processes, and modern cloud-based accounting technology to help...

    Top Services:

    • Accounting
    Location
    Atlanta, Georgia
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $162/hr
    Minimal Budget
    Under $1,000
  • Most businesses don't have a finance problem. They have a clarity problem.

    We help growing businesses see clearly with advisory, accounting, tax, and transaction services that turn financial complexity into competitive advantage...

    Top Services:

    • Accounting
    Location
    King of Prussia, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Portfolios Count
    1 Project Listed
  • Your Dedicated Financial Management Partner

    SD Mayer & Associates is a distinguished full-service accounting, advisory, and wealth management firm headquartered in the San Francisco Bay Area. With over 40 years of combined experience, the firm offers comprehensive services, including financial planning, estate planning, tax management, and business...

    Top Services:

    • Accounting
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Scaling Made Effortless.

    Whether it's websites, marketing, advertising, contracts, business filing, or software solutions. We have you covered. Everything custom and made to order, according to your needs and specifications...

    Top Services:

    • Business Consulting
    • Software Development
    • Accounting
    • Web Design
    • Digital Marketing
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $135/hr
    Minimal Budget
    $1,000 - $10,000
  • Eliminate Technology Frustrations, Headaches, and Downtime.

    Ideal Managed Solutions provides complete business IT and cybersecurity solutions, from network and devices security, to user productivity and management, to business online marketing. We aim to become your technology partner, not just another vendor...

    Top Services:

    • Managed Services
    • Cybersecurity
    • IT Services
    • Cloud Consulting
    • Web Design
    • Show more
    Location
    Richmond, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
  • Unleashing the Power of Business Consulting in the New World

    ZG Worldwide Consultants, a service mark of Zukunft Group Worldwide LLC, is your trusted partner in unleashing the power of business consulting in the new world. Contact us to explore our extensive Roster of Associates, complete with expertise summaries for each consultant...

    Top Services:

    • Digital Marketing
    • Business Consulting
    • Accounting
    • IT Services
    • Show more
    Location
    Springfield, Illinois
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Streamlining Credentialing, Empowering Care

    A leader in providing Medical Credentialing, Licensing & Billing services nationwide. Our mission is to simplify the administrative challenges faced by healthcare providers. We provide services for physician group practices, medical laboratories, skilled nursing facilities, telehealth & more...

    Top Services:

    • BPO
    • Business Consulting
    • Accounting
    • Staff Augmentation
    • Show more
    Location
    Jacksonville, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/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
  • 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
  • A Chicago tax and accounting firm that stays with you all year

    Heard & Associates LLC is a Chicago tax, accounting and bookkeeping firm founded by Darrel Heard in 2011. From offices in Hyde Park and Olympia Fields, and virtually across the U.S., the team handles individual and business tax preparation, year-round bookkeeping, payroll, IRS notices, business formation...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Chicago, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
  • A Forecast for Financial Success

    Silicon Valley Finance Group (SVFG) delivers comprehensive accounting and financial services tailored for venture-backed startups. With a focus on growth strategies, data analytics, and chief financial officer support, SVFG helps companies navigate their financial journey from inception to profitability. Its...

    Top Services:

    • Accounting
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $99/hr
    Minimal Budget
    $1,000 - $10,000
  • The uber of tax preparation services.

    Taxes Served Corporation is your trusted partner in comprehensive financial solutions. Our dedicated team is committed to providing top-notch services in tax, bookkeeping, and payroll to meet the unique needs of your business...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Hoboken, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $75/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Personal Trusted Advisor

    Peggy's Bookkeeping & Tax Service is an affordable, experienced, and friendly bookkeeping and tax firm that offers a broad range of services for business owners and individuals. We have years of real-world experience providing bookkeeping and tax services for all kinds of small businesses including...

    Top Services:

    • Accounting
    Location
    Mesquite, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • Expert Guidance for Sustainable Growth

    We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...

    Top Services:

    • eCommerce Development
    • Web Development
    • Digital Marketing
    • Software Development
    • Managed Services
    • Show more
    Location
    Sugar Land, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • 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
  • DayCPA

    VerifiedVerified by the DesignRush team for authenticity and credibility.

    Exceptional Accounting, Extraordinary Services

    Since 1995, DayCPA has helped individuals, entrepreneurs, and businesses navigate tax, accounting, bookkeeping, and advisory needs. Our team delivers proactive tax planning, reliable compliance support, and practical financial guidance designed to support long-term success...

    Top Services:

    • Accounting
    Location
    Vancouver, Washington
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000

    DayCPA Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • International Taxpayers
    • Technology Companies
    • Startups
    • E-Commerce Businesses
    • Consultants
    • Small Businesses
    • Investors
    • Foreign Nationals Working in the U.S.
    Data sourced from the agency's DesignRush profile

    DayCPA Reviews & Testimonials

    • Milena Odrinskaya
      Milena Odrinskaya Review from Google
      5.0★

      Milena Odrinskaya's Review Sourced from Google

      I always had a great experience with this company and certainly recommend them. Responses are quick and accurate and service is professional.

    • María José Ruiz
      María José Ruiz Review from Google
      5.0★

      María José Ruiz's Review Sourced from Google

      I had a great experience here! I’ll use them again. My accountant was Sara & she was fantastic. Thank you to the whole team!

    • Hailey Salierno
      Hailey Salierno Review from Google
      5.0★

      Hailey Salierno's Review Sourced from Google

      I have used this company for a number of years on my tax filings, and they have always been very quick to reply and provide service. Now that I also have my own business I am very excited to also use them for my business strategic planning. We have already been working together on this and I am looking forward to what next year will bring. The people on my team that have been helping me is Sergei and Marina.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Transformation Partners

    Bay Forward is a multinational ecosystem service provider and technology consulting firm specializing in Enterprise Resource Planning (ERP) implementations, artificial intelligence, and financial management. They help businesses automate operations and scale by providing fractional CFO services, bookkeeping...

    Top Services:

    • Branding
    • Digital Strategy
    • Web Development
    • UI/UX Design
    • CRO
    • Show more
    Location
    Miami Lakes, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
  • Billing You Can Trust

    The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...

    Top Services:

    • BPO
    • Business Consulting
    • Customer Support
    • Accounting
    • Show more
    Location
    Fairfax, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $36/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Expertise | Care | Discretion

    Professional accounting, payroll, and business solutions for sustainable growth...

    Top Services:

    • Accounting
    Location
    North Palm Springs, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Denver CPA Accounting

    Gheen & Co., CPA, LLC is the fastest growing CPA firm in Colorado. We've built our reputation on designing innovative accounting solutions and money-saving tax strategies for medical professionals, dentists, veterinarians, and high net worth business owners...

    Top Services:

    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.

    GreenSense Billing stands as a distinguished leader in the realm of medical billing, dedicated to streamlining billing and coding processes within the healthcare industry. Our paramount goal is to simplify these intricate procedures, strategically minimizing costs while optimizing revenue collection for our...

    Top Services:

    • BPO
    • Accounting
    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $30/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
  • Powering Business Intelligence with AI-Driven Data Support

    Data-Entry-India.com is a global Data & AI operations partner. Serving 3,850+ clients across 50+ countries, we specialize in enterprise data operations, AI training data services, digital commerce data support, data research and intelligence services, and document and content-related support...

    Top Services:

    • BPO
    • AI Development
    • Market Research
    • CRM Consulting
    • Accounting
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
  • Everything, Everywhere, All from One Platform.

    Cloud-based tools from Captals are transforming the way businesses manage operations, sales, and customer interactions. We are dedicated to assisting our customers in achieving their objectives by offering market-leading software and unmatched customer service. Capital, headquartered in Austin, Texas, has...

    Top Services:

    • Accounting
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Revolutionize Your Healthcare Practice.

    iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software...

    Top Services:

    • BPO
    • Web Design
    • WordPress Website Design
    • Managed Services
    • IT Services
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Accounting Partner

    Outsourced bookkeeping services for accounting firms and businesses. Integra has 20+ years of experience helping businesses of all types across USA and Canada...

    Top Services:

    • Accounting
    Location
    Wexford, Pennsylvania
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Making Work + Life Better

    KMC is a business services company dedicated to helping businesses fulfill their potential by making operations smoother and more efficient. Our comprehensive offerings range from end-to-end Employer of Record (EOR) services to beautifully designed workspace solutions...

    Top Services:

    • HR Outsourcing
    • Customer Support
    • IT Services
    • Digital Marketing
    • Business Consulting
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/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
  • SysMD-Excellence Delivered

    SysMD delivers smart, efficient healthcare solutions through expert revenue cycle management, medical billing, credentialing, coding, and transcription services. Founded in 2020, we help medical practices boost profitability, reduce administrative burdens, and stay compliant. Our team blends deep industry...

    Top Services:

    • Transcription Services
    • Call Centers
    • Market Research
    • Accounting
    • BPO
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/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
  • 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
  • Innovative Solutions, Unmatched Value

    Taskforce BPO is an American Veteran owned company whose mission is to provide clients with labor solutions that enable them to focus on their core competencies while increasing productivity and profitability...

    Top Services:

    • Call Centers
    • Accounting
    Location
    Knoxville, Tennessee
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Every Specialty. Billed Right.

    CareRCM is a U.S.-based medical billing and revenue cycle management company founded in 2016, helping healthcare providers across the United States reduce claim denials, accelerate reimbursements, and maximize revenue...

    Top Services:

    • Accounting
    • Digital Services
    • Digital Marketing
    • Business Consulting
    • Market Research
    • Show more
    Location
    Manassas, Virginia
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    1 Project Listed
  • 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
  • All-in-One AI-Powered EHR, Medical Billing & RCM

    FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    12 Projects Listed
  • Peaceful Outsourcing

    Whiz Consulting is a leading provider of online accounting and bookkeeping services, offering comprehensive solutions tailored to businesses of all sizes. With expertise in payroll processing, taxation, and advisory services, we ensure seamless financial management for our clients...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $16/hr
    Minimal Budget
    Under $1,000
  • Outsource Bookkeeping With Expert Back-Office Support

    Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave...

    Top Services:

    • Accounting
    • BPO
    Location
    Alexandria, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • Your Trusted Partner In Virtual Support & Business Efficiency

    Prossistant is your trusted partner in business support, streamlining operations, client communication, and back-office processes. Our skilled team delivers tailored assistance across marketing, sales, administration, accounting, paralegal, and technical workflows. Integrated seamlessly into your systems, we...

    Top Services:

    • BPO
    • Accounting
    • Customer Support
    Location
    Madison, Wisconsin
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
  • Reliable Bookkeeping and Financial Advisory Services

    KSFG Wealth make business growth easier by taking the stress out of managing finances. Whether you are just starting out or leading a growing company, our team is here to give you reliable financial support so you can stay focused on what matters most building your business...

    Top Services:

    • Accounting
    Location
    Frisco, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $10,000 - $25,000
  • Medical Billing Services Provider in USA

    Swift Billing Solutions helps healthcare providers streamline medical billing, reduce claim denials, accelerate reimbursements, improve practice efficiency, and maximize revenue for long-term financial growth...

    Top Services:

    • BPO
    • Customer Support
    • Accounting
    • Software Development
    • Mobile App Development
    • Show more
    Location
    Texas City, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
  • The Talent Advantage

    Extend Staffing is an international staffing, recruitment, and HR services agency that helps organizations hire skilled candidates, fill critical roles, and build stronger teams...

    Top Services:

    • HR Outsourcing
    • Accounting
    • Transcription Services
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • 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

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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
130,031+
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
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Frequently Asked Questions About Accounting Companies

At what point should I hire an accounting firm?

Most businesses begin working with one of these companies once financial complexity interferes with daily operations. 

While there is no universal threshold, many companies seek professional support when: 

  • Annual revenue consistently exceeds $100,000-$250,000 
  • Monthly transaction volume reaches 40-50 or more entries 
  • Payroll, tax filings, or reporting begin consuming operational time 

At those stages, manual bookkeeping becomes inefficient and increases the risk of errors or missed compliance deadlines.

Accounting outsourcing is also driven by efficiency. Around 65% of businesses outsource finance and accounting tasks to free up internal resources and focus on growth. 

As requirements expand, they provide structure, accuracy, and regulatory oversight that small internal teams often struggle to maintain. 

What accounting services do most top accounting companies offer in the US?

The best accounting firms in the US typically provide a mix of core financial, compliance, and advisory services.  

Common offerings include: 

  • Bookkeeping and bank reconciliations 
  • Financial statement preparation 
  • Payroll processing 
  • Accounts payable and receivable management 
  • Tax planning and federal, state, and local tax filings 

Many firms also offer: 

  • Budgeting and forecasting 
  • Cash flow and financial performance analysis 
  • Audit preparation and internal controls assessments 
  • Compliance support under U.S. Generally Accepted Accounting Principles (GAAP) 

Many businesses outsource several accounting functions at the same time, which is why US companies typically offer these services as bundled, ongoing engagements rather than isolated tasks.  

This approach aligns with the scale of the finance and accounting outsourcing market, which stood at $54.79 billion in 2025.

How much does it cost to hire top accounting firms in the United States?

The cost of hiring one of these firms in the United States depends on business size, transaction volume, and service complexity. Typical pricing includes: 

  • $300-$800 per month for basic bookkeeping and reconciliations 
  • $150-$400 per hour for specialized CPA services 
  • $800-$2,500 per month for comprehensive monthly packages (payroll, reporting, tax support) 
  • $2,500-$5,000+ per month for mid-sized or higher-complexity businesses 

At a macro level, the global accounting outsourcing market is expected to exceed $80 billion by 2030, as companies pursue cost efficiencies of 20-60% compared to maintaining full in-house accounting teams. 

What additional costs can I expect from these types of companies?

In addition to base retainers, they often charge for specialized or non-recurring services, such as: 

  • Year-end financial statements 
  • Multi-state or corporate tax filings 
  • Audit preparation 
  • System migrations 
  • International compliance 
  • Advisory or consulting projects 

Other common add-ons include payroll setup, budgeting assistance, and financial forecasting. 

For many growing businesses, these services increase total annual accounting spend by 20-40% beyond base fees.  

While this raises short-term costs, outsourcing often reduces overall operating expenses by eliminating the need for full-time internal finance staff and minimizing compliance risks. 

What do I need to know before I switch to a top accounting firm?

Switching companies usually involves a transition period of 4-8 weeks. During this time, businesses should be prepared to provide: 

  • 2-3 years of financial statements 
  • Prior tax filings 
  • Payroll records 
  • Access to accounting software 

A brief overlap between outgoing and incoming firms is common and helps: 

  • Resolve open items 
  • Prevent reporting gaps 
  • Ensure continuity of compliance 

Planning the transition outside of peak tax or reporting seasons further reduces disruption and operational risk.