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 × Health Care × $1,000 - $10,000 × Clear Filters
  • A Single Place to Fulfill Your All Accounting and Finance Management Needs.

    CapActix is an ISO 9001:2015, 27001:2013, and GDPR-certified Offshore Staffing Company. With a team of 120+ experts, we specialize in providing finance and accounting outsourcing services to businesses in the USA...

    Top Services:

    • Accounting
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    CapActix Business Solutions Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Electronics Industry
    • Automotive Industry
    • eCommerce Industry
    Data sourced from the agency's DesignRush profile

    CapActix Business Solutions Reviews & Testimonials

    • Aman Tanwar
      Aman Tanwar Software Engineer iii at Cisco
      5.0

      Accounting Review from Aman Tanwar

      Capactix Business Solutions provides bookkeeping and other accounting services for us. At the start of the engagement, we had an introductory call. Capactix Business Solution explained their services and how they support small businesses. I had an onboarding call with one of their accountants, who helped me set up our financial documents and reports. They send me monthly financial reports and complete other projects as requested. They have given me access to an online accounting portal where I can view all our financial statements. They also prepare and submit our taxes and manage our payroll. Their service package also includes the preparation of my personal taxes. They have begun implementing electronic signatures on documents. Capactix Business Solutions has given me free bits of business advice, and were planning to hire them for consulting services later this year. Initially, I spoke with the owner, who connected me to the main accountant that I now stay in contact with. There is another teammate who reaches out to me with questions on occasion. We are able to make better decisions and be more mindful of our costs using the documents and reports they have set up. This visibility is especially important as the economy is softening. Their tax preparation process is smooth since they track our finances throughout the year. Its helpful to have them onboard; with their services, we dont need to manage an in-house bookkeeper.

    • Nicki Krawczyk
      Nicki Krawczyk President at Nicki K Media, Inc
      5.0

      Accounting Review from Nicki Krawczyk

      Capactix Business Solution provides me with tax and accounting management and consultancy related to my business expenses and operations. some of the accounting services they provide include bookkeeping, tax preparation, financial planning, and business advisory, to make sure everything is being tracked properly. I deal with a tax advisor, a certified accountant, and a payroll specialist. I found them on google while searching for accountant . Capactix cost effective solutions and responsiveness to our queries and concern is really impressive. They have great monthly services and their communication is great and they're always available to provide us with guidance at no additional costs. They're also consistent in sticking to our budget and schedule, and they hold themselves accountable for everything that they do. we're impressed with their expertise and knowledge of accounting.

    • Sarwat Siddique
      Sarwat Siddique Real Estate Representative at Keller Wiliams Cornerstone Realty
      5.0

      Accounting Review from Sarwat Siddique

      We had some online introduction and after signing our contract the team went through our previous years data and set up the Quickbooks online to us. Our partnership is still ongoing. They are preparing our monthly accounting reports and our tax fillings. They met our expectations, we have accurate data in our books and they help us to understand it.

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

    YHB | CPAs & Consultants Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Construction Industry
    • Non-profit & Government
    • Healthcare Industry
    Data sourced from the agency's DesignRush profile
  • 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

    Taxes Served Corp Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • KP
    • Blue Mountain
    • Prime America
    Data sourced from the agency's DesignRush profile
  • 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

    Gheen & Co. Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • All About Braces
    • Huffman Lega
    • Dominion Turf
    Data sourced from the agency's DesignRush profile

    Gheen & Co. Reviews & Testimonials

    • Justin Sullivan
      Justin Sullivan Review from Google
      1.0

      Justin Sullivan's Review Sourced from Google

      Had a terrible experience with Gheen & Co. They managed our books and taxes for a few years. From the beginning the communication was spotty, they never answer the phone and get back to emails at a snails pace. On top of that they missed $40,000 in taxes we owed and never alerted us it was due. We had to hire a third party book keeper and it took them months to fix the mess they made in our quickbooks. After canceling with them they sent us a bill for our 2023 tax filing with was completed looong time ago.

    • Leland Curtis
      Leland Curtis Review from Google
      5.0

      Leland Curtis's Review Sourced from Google

      Luke Gheen gave me a very informative and transparent initial consultation that left a very good first impression. Rather than try to oversell me on services my startup does not need, he guided me towards relevant resources and recommend a path that was right for me, even if it meant I didn't purchase his services today. I look forward to working with him in the future!

    • Rudi Hammer
      Rudi Hammer Review from Google
      5.0

      Rudi Hammer's Review Sourced from Google

      I have been with Luke Gheen since day one. Over the many years his company has provided outstanding quality work and very timely responses. I love the fact that Gheen & Co is 99% fully electronic and I can communicate with them on a timely basis at a good and fair price. Keep up the good work, I'm a customer for life.

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

    Peggy's Bookkeeping & Tax Service Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Juan Zamora
    • Patrick McDonald
    • Tracy Chaney
    Data sourced from the agency's DesignRush profile
  • 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

    Captals Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Deloitte
    • TradingView
    • Reuters
    • Trustpilot
    • FSCS
    Data sourced from the agency's DesignRush profile
  • 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

    Integra Global Solutions Corp. Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Misonix, Inc.
    • Coda Octopus Group, Inc.
    • DSS, Inc.
    Data sourced from the agency's DesignRush profile

    Integra Global Solutions Corp. Reviews & Testimonials

    • Orly Levy
      Orly Levy Review from Google
      4.0

      Orly Levy's Review Sourced from Google

      I really enjoy working with Integra Global Solutions. They are responsive and always willing to help . They provide and request feedback which is very helpful.

    • Judy Triplett
      Judy Triplett Review from Google
      5.0

      Judy Triplett's Review Sourced from Google

      Sonia has been a lifesaver getting my mess of books in order. It was a monumental task and she did an excellent job and has been always professional. I have very much enjoyed working with Integra and Sonia!

    • TPJ Google Voice
      TPJ Google Voice Review from Google
      5.0

      TPJ Google Voice's Review Sourced from Google

      Sonia and the team at Integra have given me peace of mind with their bookkeeping. They are timely and accurate with their work. They also communicate well especially with their company holidays which are different from the US calendar. I am super glad I was able to find this company.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Top Provider of Outsourcing and Customer Support

    Dalerio Consulting is an international Customer Support, Marketing and Business Process Outsourcing company with rapid growth and steady foundation...

    Top Services:

    • Customer Support
    • HR Outsourcing
    • BPO
    • Call Centers
    • Phone Answering Services
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    9 Projects Listed

    Dalerio Consulting Services

    • Customer Support
    • HR Outsourcing
    • BPO
    • Call Centers
    • Phone Answering Services
    • Digital Marketing
    • Accounting
    • Staff Augmentation
    • SEO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • SwissTranslate
    • KlimaTek
    • SpotGaming
    • Youth Activities Center
    • Korrieri
    Data sourced from the agency's DesignRush profile

    Dalerio Consulting Reviews & Testimonials

    • DAFKU Law Firm
      DAFKU Law Firm Review from Google
      5.0

      DAFKU Law Firm's Review Sourced from Google

      We signed last year with Dalerio Consulting, and they are dealing with our customer support through call center services. Working with this company has been a great experience so far, so we would recommend Dalerio Considering to everyone who is looking for a BPO company.

    • Denisian Prifti
      Denisian Prifti Review from Google
      5.0

      Denisian Prifti's Review Sourced from Google

      If you're searching for a unique and distinctive online presence for your brand or business, look no further as Dalerio Consulting got you covered.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • The CPA and Advisory Firm Designed to Lead You

    At Maxwell Locke & Ritter, we've built our business to address your key milestones. and every moment. Our team provides tax, audit, risk assurance, and transaction advisory services to help achieve your goals. We offer strategic vision and thoughtful advice to navigate today's marketplace...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000

    Maxwell Locke & Ritter Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Elligo Health Research
    • CommUnity Care
    • Real Ale Brewing
    Data sourced from the agency's DesignRush profile

    Maxwell Locke & Ritter Reviews & Testimonials

    • M G
      M G Review from Google
      5.0

      M G's Review Sourced from Google

      ML&R is an excellent professional services firm. I've been attending meetings with them and referring clients to them for more than 10 years and it's my impression that the partners and staff make every effort to do a top-notch job for every client. They are on the cutting edge of technology and best practices, so I don't hesitate to refer friends and clients to ML&R for audits and the most complex tax issues.

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

    Medwave Services

    • Customer Support
    • BPO
    • Business Consulting
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Commure
    • Athelas
    • Dynapulse
    Data sourced from the agency's DesignRush profile

    Medwave Reviews & Testimonials

    • Ashley Deitz
      Ashley Deitz Review from Google
      5.0

      Ashley Deitz's Review Sourced from Google

      Medwave Credentialing has been an outstanding partner in managing the often complex and time consuming credentialing process. Their team is knowledgeable, responsive, and incredibly detail-oriented, ensuring that everything is completed accurately and efficiently. They take the stress out of navigating insurance panels and provider enrollment, allowing me to focus more on my clients and less on administrative burdens. Communication has been seamless from start to finish. They keep you informed every step of the way and are always available to answer questions or provide updates. Their professionalism and commitment to delivering results truly set them apart. I highly recommend Medwave Credentialing to any provider looking for reliable, efficient, and top-quality credentialing services.

    • Ray Nelson
      Ray Nelson Review from Google
      5.0

      Ray Nelson's Review Sourced from Google

      Excellent Medical Credentialing Medwave exceeded our expectations for behavioral health credentialing services. Their team was incredibly detail-oriented, handled all paperwork efficiently, and kept us informed throughout the process. The turnaround time was faster than anticipated, which helped get our providers approved quickly. My wife's company is pretty happy about this, they were great! I'll use again for the recredentialing.

    • gregory Daniel
      gregory Daniel Review from Google
      1.0

      gregory Daniel's Review Sourced from Google

      Unprofessional Conduct and Tardiness regarding Scheduled Meeting I want to express my disappointment with the way a recent meeting was handled. Their team scheduled the call, yet they joined 20 minutes late without so much as an apology. To make matters worse, Alex Lau responded with irritation when we raised concerns about the delay. This level of unprofessionalism is unacceptable and reflects poorly on any organization. Punctuality and respect for others’ time are basic expectations in any business setting.

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

    HR Advantage, LLC. Services

    • HR Outsourcing
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Desert Jet
    • Hideaway Country Club
    • ERG
    Data sourced from the agency's DesignRush profile
  • 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

    The Dental Services Services

    • Business Consulting
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Prosmiles
    • NexHealth
    • Crowe LLP
    Data sourced from the agency's DesignRush profile
  • 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

    Allianze Infosolution Services

    • BPO
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Corporate Services Industry
    • Design Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile
  • Trusted Medical Billing Company

    HelloMDs streamlines medical billing through smart, technology-driven solutions that increase revenue, minimize claim denials, and simplify the entire RCM process. Supporting 80+ practices across 48+ specialties, we enable healthcare providers to focus on patient care while we manage billing with accuracy...

    Top Services:

    • BPO
    • Accounting
    • Digital Marketing
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    HelloMDs Services

    • BPO
    • Accounting
    • Digital Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Corporate Services Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile

    HelloMDs Reviews & Testimonials

    • Steve Deberry
      Steve Deberry Review from Google
      5.0

      Steve Deberry's Review Sourced from Google

      I'd like to thank John and his entire staff. They have helped me reclaim in excess of a Year's billing over 500k in and their Continuing assistance in helping me restructure my company. Thank you medatron. hello MD

    • Sabir Quraishi
      Sabir Quraishi Review from Google
      5.0

      Sabir Quraishi's Review Sourced from Google

      It is a pleasure working with John ,Alex and their team for medical billing recover.They are sincere dedicated and hardworking and their team effort has benefited our organization tremendously not only with the recovery process but they have also pointed out flaws in our billing process and helped our biller rectify them.We thank you John and Alex for helping us and hope to keep our work relationship going. I recommend HelloMDs without reservation to my peers who need assistance with their billing.

    • Maria Pattis
      Maria Pattis Review from Google
      5.0

      Maria Pattis's Review Sourced from Google

      It has been a pleasure working with your team! Always so pleasant and professional! I really recommend working with them , always quick to respond to calls and to assist

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

    iCareBilling Services

    • BPO
    • Web Design
    • WordPress Website Design
    • Managed Services
    • IT Services
    • Staff Augmentation
    • Business Consulting
    • Call Centers
    • Accounting
    • Customer Support
    • Digital Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Arthritis Care Medical Group
    • Midwest Care Center
    • Northeast Wisconsin Behavioral Health
    • Reliable Health Services
    • Sleepologie Health and Wellness Center
    Data sourced from the agency's DesignRush profile

    iCareBilling Reviews & Testimonials

    • Jose Vega
      Jose Vega Review from Google
      5.0

      Jose Vega's Review Sourced from Google

      I have been using iCare for years. The owner is involved in the day-to-day operations and is extremely responsive to our requests and has never failed to meet a deadline. I can't say that about many other companies. VERY RELIABLE and the customer service is fast. Very professional. I truly recommend them.

    • Donna Anderson
      Donna Anderson Review from Google
      5.0

      Donna Anderson's Review Sourced from Google

      ICAREBILLING is a wonderful service! They truly live up to their name. They have helped me so much with my practice. I highly recommend them!!

    • Oleta Schranz
      Oleta Schranz Review from Google
      5.0

      Oleta Schranz's Review Sourced from Google

      Excellent and prompt service. They have great attention to detail and work hard to provide the best for their customers.

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

    Credex Healthcare Services

    • BPO
    • Business Consulting
    • Accounting
    • Staff Augmentation
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Johnson Chiropractic
    • Davis Home Health
    • Masters Family Practice
    Data sourced from the agency's DesignRush profile

    Credex Healthcare Reviews & Testimonials

    • Penelope Monroe
      Penelope Monroe Review from Google
      5.0

      Penelope Monroe's Review Sourced from Google

      Billing and credentialing for urgent care requires a different level of responsiveness than many standard practice environments. Patient volume is higher, provider turnover can be more frequent, and payer mix can shift quickly. Credex understood these operational realities without requiring extensive explanation. Their team has helped keep billing running smoothly, ensured new providers are credentialed without becoming a bottleneck, and maintained current status across the practice.

    • Tessa Grant
      Tessa Grant Review from Google
      5.0

      Tessa Grant's Review Sourced from Google

      Managing credentialing internally for 100 providers had gradually become a full-time responsibility. Tracking expirations, following up with payers, maintaining hospital panels, and monitoring for potential lapses across the group required more time and attention than we could reasonably provide. Credex became familiar with our needs quickly and began addressing a backlog that had been unresolved for months. The transition was smoother than expected. More importantly, they provided a single, reliable point of accountability for provider status across the organization. Great working with Jordan and the team.

    • Ryan Howard
      Ryan Howard Review from Google
      5.0

      Ryan Howard's Review Sourced from Google

      Credex Healthcare transformed our practice's payment posting services, eliminating our accounts receivable backlog in the first week. Their payment posting workflow is accurate for most payers and processes same-day for ERA files. Month-end reconciliation is no longer a bottleneck with efficient A/R management.

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

    MRBD Services

    • Business Consulting
    • Software Development
    • Accounting
    • Web Design
    • Digital Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Food & Drug Administration
    • Tax Wide Solutions
    • Texas Woman's University
    • Border Trucking Compliance
    • GTIF Capital
    • Meta Power Solutions
    • Medicare Plus, Inc.
    • ADP
    Data sourced from the agency's DesignRush profile
  • 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

    SysMD Services

    • Transcription Services
    • Call Centers
    • Market Research
    • Accounting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Evergreen Family Clinic
    • Trinity Wellness Group
    • NovaCare Specialty Center
    Data sourced from the agency's DesignRush profile
  • SMEs' Premier Outsourcing Ally: Your #1 Choice

    Big Outsource, a leading BPO company, specializes in outsourcing solutions, from project-based services to virtual captive centers. Our expertise spans creative, technical support, and IT disciplines, making us your trusted partner for outsourcing excellence...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Accounting
    • Show more
    Location
    New York City, New York
    Number of Employees
    250 - 499
    Minimal Budget
    $1,000 - $10,000

    Big Outsource Services

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Accounting
    • Web Development
    • Graphic Design
    • HR Outsourcing
    • IT Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • OpnRoad
    • D121
    • Instant Consult
    Data sourced from the agency's DesignRush profile

    Big Outsource Reviews & Testimonials

    • Admire Marketing
      Admire Marketing Review from Google
      1.0

      Admire Marketing's Review Sourced from Google

      Rescheduled our call last minute / then left us hanging on the actual call time saying they actually aren't open to meeting with us. Would not recommend.

    • Wilcon Ando
      Wilcon Ando Review from Google
      5.0

      Wilcon Ando's Review Sourced from Google

      I recommend this place! Awesome people and the place is well maintained. They genuinely care about the agents' wellbeing.

    • Rasida Asgar
      Rasida Asgar Review from Google
      5.0

      Rasida Asgar's Review Sourced from Google

      One of the best 💯 I would say I will always choose to be with this friendly, fantastic and very accommodating company. I always had a chance to to be hired with other bigger companies but I'd rather choose BIGOUTSOURCE no matter what. It's actually my second home. I feel safe and happy when I'm with BIGOUTSOURCE. I love everything about it. ❤️❤️ No doubt this company is one of the growing company in the Philippines. ❤️

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

    SD Mayer & Associates Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Lahlouh
    • Salesian Boys Girls Club
    • Eden Church
    Data sourced from the agency's DesignRush profile

    SD Mayer & Associates Reviews & Testimonials

    • Tyler Pugliese
      Tyler Pugliese Review from Google
      5.0

      Tyler Pugliese's Review Sourced from Google

      I've been trusting Seth and his team for the past 3 years and I couldn't be more pleased with their work. I always feel heard and taken care of and know my data is being handled professionally and promptly.

    • Julian Penna
      Julian Penna Review from Google
      1.0

      Julian Penna's Review Sourced from Google

      Bad service, slow, expensive, not responsive. Posterior accounting firm found mistakes in research we payed hundreds for. Weeks without getting a response.

    • Justin Rhinesmith
      Justin Rhinesmith Review from Google
      1.0

      Justin Rhinesmith's Review Sourced from Google

      I don't know if communication was lost or never sent, but multiple requirements of us were never received - including the cutoff date for submitting our information - which caused us to miss filing on time and requiring an extension. When asked, we were told that information was provided, but I could not (and still can not) find that information anywhere. We didn't realize we were after the cutoff date until we reached out to ask about the status. After learning that we needed an extension, multiple dates were given for when our taxes would be filed. When dates were missed, we again had to reach out for clarification and a new timeline.

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

    Silicon Valley Finance Group Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • volta
    • Ruby Ribbon
    • livefyre
    Data sourced from the agency's DesignRush profile
  • Break Barriers, Scale Smarter, & Lead with Innovation.

    PaceXgrowth is a forward-thinking technology solutions provider, dedicated to transforming businesses with cutting-edge software, AI-driven innovations, cloud solutions, healthcare software solutions, fitness app development solutions, Game development, and fintech software solutions. Our expertise lies in...

    Top Services:

    • Mobile App Development
    • Software Development
    • IT Services
    • DevOps Consulting
    • Cloud Consulting
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed

    PaceXgrowth Pvt Ltd Services

    • Mobile App Development
    • Software Development
    • IT Services
    • DevOps Consulting
    • Cloud Consulting
    • Staff Augmentation
    • Accounting
    • Web Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Adlabs Imagica, India
    • Best Buy World Singapore
    • SOS Campus
    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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