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 × Wellness & Fitness × Sort by: Top Rated ×Clear Filters
  • Transform Your Workflow with Highly Skilled Virtual Assistants.

    Keach Assistants is a U.S.-based virtual assistant company specializing in providing expert bookkeeping, accounting, eCommerce, and data entry services. Our team of highly skilled virtual assistants is equipped to handle the complexities of modern business tasks, helping you streamline operations and improve...

    Top Services:

    • eCommerce
    • Accounting
    • BPO
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    Keach Assistants Services

    • eCommerce
    • Accounting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Soul2Summit
    • Zenith Stallion Station
    • Team Trinity Fitness
    • Promethean Risk Solutions
    Data sourced from the agency's DesignRush profile

    Keach Assistants Reviews & Testimonials

    • Cary Caballero
      Cary Caballero Director of Marketing at Cosmetic Group USA
      5.0

      Social Media Marketing Review from Cary Caballero

      I can confidently say that Keach Assistants have greatly boosted our business. They also coordinate our appointments, call our clients, and in some cases promote our business. They provide strong support and clear all fields that allow us to concentrate on the sales and expansion of our company. The service has been splendid!

    • Kristine Holly
      Kristine Holly Chief Technical Officer (CTO) at Confidential
      5.0

      Virtual Assistant Review from Kristine Holly

      Billing of medical records was a very large issue until we sought the services of Keach Assistants. Their virtual assistants have helped in our billing process in that we process the payments faster than before and with little or no errors. Im glad we are able to get this very important part of our business taken care of in such an organized manner.

    • Kaylee Slone
      Kaylee Slone Digital Marketing Manager at Authors Breeze
      5.0

      Business Consulting Review from Kaylee Slone

      Being a completely scatty and non-tech driven "creative," I could not survive without Keach Assistants. They are calm people who can bring me down from the ceiling when I am panicked about something and who can deal with the more complicated details of my business proficiently and charmingly. It is always nice also to learn from them because they are knowledgeable in a wide range of business skills. Without a doubt, I would highly endorse their services to anybody seeking the services of a highly skilled VAs, but still offering fairly affordable prices.

    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
  • Law Firm Support Services

    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
    • Show more
    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
      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
      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
      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
    • Show more
    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
    • Retail Industry
    • Financial Industry
    • eCommerce Industry
    • Legal Industry
    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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