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.

United States × Insurance × Sort by: Top Rated ×Clear Filters
  • 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

    Offshore India Data Entry Services

    • BPO
    • Accounting
    • Customer Support
    • Market Research
    • Web Design
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • allianze bpo
    • nexgen
    • india data entry
    Data sourced from the agency's DesignRush profile

    Offshore India Data Entry Reviews & Testimonials

    • Lisa Rozario
      Lisa Rozario Marketing Manager at D.E Exports LLC
      5.0

      Document Digitization Review from Lisa Rozario

      We approached offshore data entry for our data entry process. They adeptly transformed our process. An excellent and efficient team, delivering quality work on time. I recommend Offshore India Data Entry for data entry requirements.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • 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
    • Customer Support
    • Phone Answering Services
    • Call Centers
    • Show more
    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
      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
  • 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

    ARDEM Incorporated Services

    • BPO
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Financial
    • Healthcare
    • Retail
    • Manufactuing
    • Logistics
    • Government
    Data sourced from the agency's DesignRush profile

    ARDEM Incorporated Reviews & Testimonials

    • Matt Venner
      Matt Venner IT Manager at Agile Therapeutics
      4.8

      Outsourcing Review from Matt Venner

      ARDEM created a solution for our AP workflow that integrates seamlessly into our current process. It did not require any extensive IT overhaul and is saving us quite a bit from our previous antiquated ways. Process was fast and the quality of their work is great. Highly recommend their team!

    • Adi S
      Adi S Review from Google
      5.0

      Adi S's Review Sourced from Google

      I am currently working as an HR Intern at ARDEM Incorporated, and it has been a very positive learning experience for me.The organization provides a professional and supportive work environment where freshers are given the opportunity to understand real-time HR operations, recruitment processes, and employee engagement activities. The team is approachable, collaborative, and always willing to guide, which makes it easier to learn and grow.One of the key highlights is the structured workflow and clear communication, which helps in developing practical skills such as candidate coordination, documentation handling, and stakeholder interaction. The company also promotes a healthy work-life balance and encourages employees to take ownership of their responsibilities.Overall, ARDEM has been a great place to start my HR journey, helping me build confidence, enhance my professional skills, and gain valuable industry exposure.

    • Pamela Morin
      Pamela Morin Review from Google
      5.0

      Pamela Morin's Review Sourced from Google

      Ardem Inc. has been a great partner for our accounts payable process. John Copeland is responsive and our analysts do a great job of following processes and communicating.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • PAYMENT AND BUSINESS SOLUTIONS TO HELP YOU ACHIEVE GROWTH

    About Integrated Merchant Alliance, Inc. (IMA)….IMA is a nationally recognized business consulting and solutions company. We offer a customized suite of products that are designed to help our clients control costs and expand market share. Specialties include payment processing and transaction acceptance...

    Top Services:

    • Accounting
    Location
    Omaha, Nebraska
    Number of Employees
    100 - 249
    Minimal Budget
    Under $1,000

    Integrated Merchant Alliance, Inc Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Business-to-Business
    • Medical
    • Insurance
    Data sourced from the agency's DesignRush profile
  • 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

    Taskforce Services

    • Call Centers
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Avoca Insurance Holdings
    • Assured Partners
    • CK Derm
    Data sourced from the agency's DesignRush profile
  • 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

    SmartPA Services

    • Customer Support
    • BPO
    • Market Research
    • Transcription Services
    • Translation Services
    • HR Outsourcing
    • Call Centers
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Cox-London
    • Complete Refinish
    • Collette CWMedia
    • Krispy Kreme
    • Total Oil and Gas
    Data sourced from the agency's DesignRush profile

    SmartPA Reviews & Testimonials

    • Vicky Grobbelaar
      Vicky Grobbelaar Review from Google
      5.0

      Vicky Grobbelaar's Review Sourced from Google

      Mandy has been a huge asset to Ethiqs and a lovely person to work with, efficient and friendly and a great team backing her. Highly recommended.

    • Pedro Mendoza
      Pedro Mendoza Review from Google
      5.0

      Pedro Mendoza's Review Sourced from Google

      Holly has been a great help recently both in terms of my business and personal affairs. I am in the process of making some business structure changes in my private dental practice and she has assisted me with all the lengthy paperwork, ensuring that everything is in order. In addition, she has assisted me in researching properties and locations. I would not hesitate in recommending her services as her support has been invaluable to me at this extremely busy time and has allowed me to focus on my patients.Highly recommended +++++

    • Alexandra Stewart
      Alexandra Stewart Review from Google
      5.0

      Alexandra Stewart's Review Sourced from Google

      Terri has been an incredible SmartPA assistant for our family over the past 18 months. Her support has been invaluable in managing our busy work and home administrative tasks. Throughout our travels across Europe, the US, and Canada, as well as during our recent move to a new house and country, Terri has been there for us every step of the way. In particular, I have appreciated that Terri has used great judgment in assessing options on all fronts and hasn't just gone for the easy road of blindly following orders. I have trusted her as a "second me" and that has been so helpful. We couldn't have done any of this without her!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Building A Better Working World

    EY offers Accounting, Business Consulting, and IT Services with a mission to build a better working world. It provides insights and quality services that instill trust in global capital markets and economies. EY focuses on developing exceptional leaders who deliver on their commitments to all stakeholders...

    Top Services:

    • Business Consulting
    • HR Outsourcing
    • Accounting
    • Cybersecurity
    • IT Services
    • Show more
    Location
    Sacramento, California
    Number of Employees
    1000 & Up

    EY Services

    • Business Consulting
    • HR Outsourcing
    • Accounting
    • Cybersecurity
    • IT Services
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Qiagen
    • Apple
    • ASOS
    • Microsoft
    • Wawa
    Data sourced from the agency's DesignRush profile
  • 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

    Red Bike Advisors Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • ActionCOACH
    • The Christian Cardamone Team
    • nCino
    Data sourced from the agency's DesignRush profile

    Red Bike Advisors Reviews & Testimonials

    • Kimberley Wozniak
      Kimberley Wozniak Review from Google
      5.0

      Kimberley Wozniak's Review Sourced from Google

      My husband and I have been using Adam Shay CPA, PLLC for 3 years now. We are very pleased with his company and services. Trust is the word we would use to describe his service. We know that we can always trust that Mr. Shay is always acting in our best interest and his knowledge of current tax laws is of a great comfort to us. We also very much appreciate the professionalism of his staff. We recommend this company to anyone looking for a CPA that they can trust is acting in their best financial interest. He and his staff are also always available to answer any questions that you may have in regards to your finances. Mr Shay always acts in a very timely manor as well, which we all are aware that this is very important to us. We do not give 5-Star ratings very often but this company certainly deserves every star.

    • Jim
      Jim Review from Google
      5.0

      Jim's Review Sourced from Google

      I've worked with Adam for just at 3 years now and I recommend them to everyone I know. Every year, my friends are dreading tax season while I'm at ease because I know everything is taken care of by the team at Adam Shay. If they can save you money or put you in a better position for moving forward, they will help make it happen. This kind of attention and care is exactly what you should look for. I trust that they do my taxes as if they were their own. Highly recommended.

    • Ryan Crecelius
      Ryan Crecelius Review from Google
      5.0

      Ryan Crecelius's Review Sourced from Google

      I have been a client of Adam for the past 3 years now. He handles both my personal and business taxes and he does an amazing job! I met Adam when I first stared my company, DO GOOD Real Estate and he has been extremely helpful in making sure I take the right steps as I grow. His whole team is very knowledgable, friendly and I enjoy working with all of them. Adam has created a really great environment for his clients. Great guy all around...!

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

    Cover Operation Services

    • BPO
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Retail Agency
    • Wholesale Broker
    • MGA & Carrier
    Data sourced from the agency's DesignRush profile
  • Partnerships Built on Trust and Success

    At Kim & Associates, PA, we offer a wide range of services. Throughout the years, we have been helping our clients with various business needs, from tax planning and preparation to setting up and managing the books to business development and retirement planning...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Salisbury, Maryland
    Number of Employees
    Under 49

    Kim & Associates Services

    • Business Consulting
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • IT Industry
    • Small Business Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile
  • Certified Public Accountant, opened an office in Lincoln, Nebraska

    Perry L. Demma provides Tax Services, Bookkeeping services, Financial statement presentation, Payroll checks and returns and Sales tax preparation...

    Top Services:

    • Accounting
    Location
    Lincoln, Nebraska
    Number of Employees
    Under 49

    DemmaTAX Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Marketing Industry
    • Small Business Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile
  • 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

    AVK Global Bookkeeping Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Financial Industry
    • Small Business Industry
    • Professional Services Industry
    Data sourced from the agency's DesignRush profile
  • 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

    CoCountant Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • LaunchPath Innovation
    • Rhino Web Group, LLC
    • Coast2Coast HR, LLC
    • Datum
    • Backpack
    • OHSL
    • Gemini Brass & Woodwinds
    • EmkaoFoods Inc.
    • Buoyant LLC
    • My MSP Solutions, Inc.
    Data sourced from the agency's DesignRush profile

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. 

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