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 × Insurance × Sort by: Avg Hourly Price: Low to High ×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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • Simplify Solutions | Multiply Value

    At Zeta-V, every engagement is built on collaboration, innovation, and long-term partnerships. We are committed to helping our clients transform ideas into practical, high-impact digital solutions that drive sustainable growth and lasting business value. Our expertise spans digital transformation...

    Top Services:

    • Staff Augmentation
    • IT Services
    • ERP Consulting
    • CRM Consulting
    • Accounting
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    Location
    Orlando, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/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
  • 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
  • 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
  • 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
  • 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
  • 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

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We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
129,387+
2

Portfolio Review

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

Applicants rejected
47%
3

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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.