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.
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCapActix Business Solutions Services
Data sourced from the agency's DesignRush profileElectronics Industry Automotive Industry eCommerce Industry
CapActix Business Solutions Reviews & Testimonials
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.
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.
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 ReviewsThat 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsYHB | CPAs & Consultants Services
Data sourced from the agency's DesignRush profileConstruction Industry Non-profit & Government Healthcare Industry
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTaxes Served Corp Services
Data sourced from the agency's DesignRush profileKP Blue Mountain Prime America
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsGheen & Co. Services
Data sourced from the agency's DesignRush profileAll About Braces Huffman Lega Dominion Turf
Gheen & Co. Reviews & Testimonials
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'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'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 ReviewsYour 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsPeggy's Bookkeeping & Tax Service Services
Data sourced from the agency's DesignRush profileJuan Zamora Patrick McDonald Tracy Chaney
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCaptals Services
Data sourced from the agency's DesignRush profileDeloitte TradingView Reuters Trustpilot FSCS
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSD Mayer & Associates Services
Data sourced from the agency's DesignRush profileLahlouh Salesian Boys Girls Club Eden Church
SD Mayer & Associates Reviews & Testimonials
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'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'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 ReviewsYour 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsIntegra Global Solutions Corp. Services
Data sourced from the agency's DesignRush profileMisonix, Inc. Coda Octopus Group, Inc. DSS, Inc.
Integra Global Solutions Corp. Reviews & Testimonials
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'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'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 ReviewsA 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSilicon Valley Finance Group Services
Data sourced from the agency's DesignRush profilevolta Ruby Ribbon livefyre
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDalerio Consulting Services
Data sourced from the agency's DesignRush profileSwissTranslate KlimaTek SpotGaming Youth Activities Center Korrieri
Dalerio Consulting Reviews & Testimonials
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.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsFinancial Visibility Starts Here.
Outsourced NetSuite accounting and fractional CFO services for $5-$100M companies. Clean books, a 5-day close and the NetSuite reporting you need to drive decisions...
Top Services:
- Accounting
- Business Consulting
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsexpandCFO Services
Data sourced from the agency's DesignRush profileHarvest Dental Wilson Combat Green City Market
expandCFO Reviews & Testimonials
Sasha Der Avanessian's Review Sourced from Google
We didn’t have this data. I’ve never seen anything like this before, ever. This is the most valuable information I’ve gotten in years.
Brandon McCarty's Review Sourced from Google
expandCFO's combined expertise in both NetSuite and financial analysis has helped us reconfigure NetSuite to improve our item profit margin reporting. We now finally can understand our true margins and make more informed business decisions. Other NetSuite consultants we work with don't also understand accounting so they never could give us this same insight.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsThe 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMaxwell Locke & Ritter Services
Data sourced from the agency's DesignRush profileElligo Health Research CommUnity Care Real Ale Brewing
Maxwell Locke & Ritter Reviews & Testimonials
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 ReviewsMedical 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMedwave Services
Data sourced from the agency's DesignRush profileCommure Athelas Dynapulse
Medwave Reviews & Testimonials
Kenneth Pruyn's Review Sourced from Google
I have been working with Med wave for a year now, and I can't praise Lauren, and Alex enough. They are very responsive when I contact them. They always handle my account in a very Professional Manner. As a business owner with my own Medical Practice, I find it very unfortunate when some elect to post negative or fraudulent reviews without merit especially when they pertain to Medwave.. I would highly recommend anyone considering Med wave to do so, their pricing is very fair in my opinion, I never received any surprise billing or unexpected charges.
Brittany Clair's Review Sourced from Google
Very knowledgeable and the team goes above and beyond. The communication with the team has been wonderful and easy; start to finish. Anytime I needed something, I always got a quick response. Very professional and committed to making sure results are delivered in a timely manner. Highly recommend Medwave Billing and Credentialing!!
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.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsInnovative 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTaskforce Services
Data sourced from the agency's DesignRush profileAvoca Insurance Holdings Assured Partners CK Derm
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHR Advantage, LLC. Services
Data sourced from the agency's DesignRush profileDesert Jet Hideaway Country Club ERG
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsThe Dental Services Services
Data sourced from the agency's DesignRush profileProsmiles NexHealth Crowe LLP
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAllianze Infosolution Services
Data sourced from the agency's DesignRush profileCorporate Services Industry Design Industry Software & IT Services Industry
Billing You Can Trust
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsThe Ashez Group Services
Data sourced from the agency's DesignRush profileNovacare Psychiatry Elite Medical Center Healing Clinic Bodhi Wellness
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHelloMDs Services
Data sourced from the agency's DesignRush profileHealth Care Industry Corporate Services Industry Finance Industry
HelloMDs Reviews & Testimonials
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'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'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 ReviewsThe Talent Advantage
Extend Staffing is an international staffing, recruitment, and HR services agency that helps organizations hire skilled candidates, fill critical roles, and build stronger teams...
Top Services:
- HR Outsourcing
- Accounting
- Transcription Services
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsExtend Staffing Services
Data sourced from the agency's DesignRush profileAlex Jessica Daniel Laura James Sophie Mark Natalie Jenifer
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsStellar Staff VA Services
Data sourced from the agency's DesignRush profileCurium Pharma Six Degrees Executive Cochrane Kranus Health Red Piranha Sterling Industries Magmic
Stellar Staff VA Reviews & Testimonials
John Lopez's Review Sourced from Google
We had a great experience with Stellar Staff! The entire process was seamless from start to finish. Their team made everything easy, communicated well, and helped us find a VA who was a great fit for our company. We would definitely recommend them!
Hawa Bah's Review Sourced from Google
I’ve had an amazing experience working with Stellar Staff, especially with my VA, Argen. She has been an incredible asset to my business—organized, dependable, and always willing to go above and beyond.What stood out the most was her support while I was on maternity leave. She helped manage client communications, kept projects moving, and made sure everything continued running smoothly. Having someone I could truly rely on during that time gave me so much peace of mind.Argen is proactive, detail-oriented, a fast learner, and genuinely cares about the success of the businesses she supports. I highly recommend Stellar Staff to anyone looking for a reliable virtual assistant agency. I’m so grateful for their support and look forward to continuing to work with them!
Lag Beauty's Review Sourced from Google
We have been working with Stellar Staff for several months now, (Kristina our Rep and Evelyn our VA) couldn’t be better!! We are truly happy of working with them, the process and the progress we’ve seen with them has been so effortless and rewarding. Very professional, attentive and just overall amazing. Looking forward to continue growing and building together. 100/10! ✨🫶🏽 Amazing company.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsRevolutionize 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsiCareBilling Services
Data sourced from the agency's DesignRush profileArthritis Care Medical Group Midwest Care Center Northeast Wisconsin Behavioral Health Reliable Health Services Sleepologie Health and Wellness Center
iCareBilling Reviews & Testimonials
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'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'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 ReviewsStreamlining 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCredex Healthcare Services
Data sourced from the agency's DesignRush profileJohnson Chiropractic Davis Home Health Masters Family Practice
Credex Healthcare Reviews & Testimonials
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'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'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 ReviewsScaling 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMRBD Services
Data sourced from the agency's DesignRush profileFood & Drug Administration Tax Wide Solutions Texas Woman's University Border Trucking Compliance GTIF Capital Meta Power Solutions Medicare Plus, Inc. ADP
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSysMD Services
Data sourced from the agency's DesignRush profileEvergreen Family Clinic Trinity Wellness Group NovaCare Specialty Center
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBig Outsource Services
Data sourced from the agency's DesignRush profileOpnRoad D121 Instant Consult
Big Outsource Reviews & Testimonials
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'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'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. ❤️
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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...
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- Dover, Delaware
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- 50 - 99
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- $5/hr
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- $1,000 - $10,000
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Accounting Firms by City
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Hiring Guide: How to Choose the Top Accounting Firms in the US
What should I prepare for my first meeting?
A well-prepared first meeting helps them recommend the right services, set realistic timelines, and establish a productive working relationship from the start.
It also allows the firm to quickly determine whether your needs are primarily operational, compliance-driven, or advisory-focused.
Before the meeting, gather key business and financial information to support an efficient onboarding process.
You should include business registration documents, your Employer Identification Number (EIN), and financial statements from the last 12 months, such as profit and loss statements, balance sheets, and cash flow reports.
Recent bank and credit card statements, along with payroll summaries, are also essential for providing a complete picture of your finances.
You should also be ready to explain how your business currently handles invoicing, expense tracking, payroll frequency, and tax payments.
When you provide context like that, the firm will be able to evaluate your workflows and identify potential areas for improvement much better.
Many first-time clients underestimate onboarding timelines as initial setup, data cleanup, and reconciliations can take 2–6 weeks, depending on the quality and consistency of existing records.
If cleanup is required, the firm may recommend a phased approach before moving into ongoing monthly services.
Finally, outline your main financial priorities and challenges, such as improving cash-flow visibility, preparing for growth, managing compliance, and reducing tax exposure.
Clearly defined priorities help prevent over-scoping and ensure the firm focuses on services that deliver measurable value early on.
What documents should I prepare if I’m switching providers?
If you’re switching companies, having well-organized documentation will help ensure a smooth and efficient transition.
Most firms will ask for two to three years of financial statements, prior tax returns, and detailed transaction histories to understand your financial position and historical reporting.
This historical context helps the incoming firm identify inconsistencies, past adjustments, or compliance risks early in the process.
You should also prepare bank statements, credit card records, and payroll documentation, including W-2s, 1099s, and quarterly filings, to maintain continuity in payroll processing and financial reporting.
Providing secure access to your accounting software reduces manual data entry, speeds up reconciliations, and minimizes the risk of errors.
In some cases, structured communication between your outgoing and incoming firms helps clarify prior accounting treatments, resolve open items, and address outstanding compliance issues.
Such coordination is typically limited to transition-related questions and helps avoid duplicated work or conflicting adjustments.
How do businesses benefit from hiring US accountants?
They ensure financial accuracy, tax compliance, and strategic growth through expert budgeting, forecasting, and identifying cost savings, ultimately freeing up owners' time and protecting them from costly errors or legal issues by navigating complex U.S. tax laws and regulations.
The estimated revenue generated by accounting services in the United States reached almost $145 billion over the past five years, including an expected 0.2% boost in 2025.
According to statistics, 72% of accounting and bookkeeping practices reported increased revenue in the past 12 months to highlight the growth seen across the industry.
Offering new and additional services to clients is a leading reason for revenue and profit increase. On average, accounting and bookkeeping practices offer around six services to their clients.
Key benefits include:
- Ensured adherence to federal and state financial law
- Help with strategic financial planning
- Low operational costs
- Allow owners to focus on core business activities
- Accurate financial reporting
What red flags should I watch out for when hiring a firm?
Several red flags can indicate a poor accounting partner, including:
- Unclear pricing: Vague fee structures or a lack of detailed pricing breakdowns often lead to unexpected charges, budget overruns, and disputes once work is underway.
- Slow or inconsistent communication: Delayed responses (longer than 24 hours and leading to several days) during the sales or onboarding phase may indicate ongoing responsiveness issues, especially during critical reporting or tax deadlines.
- Lack of industry experience: Firms without experience in your specific industry may overlook relevant tax strategies, misinterpret regulations, or apply inefficient reporting practices.
- No structured onboarding process: Top accounting firms typically offer defined timelines, clear document checklists, and assigned points of contact to ensure a smooth transition and accurate setup.
- Purely reactive approach: Firms that only respond when contacted tend to focus on basic compliance rather than proactively identifying risks, explaining financial trends, or recommending improvements before issues escalate.
What is the difference between an accounting firm and a CPA firm?
Top accounting firms typically offer a range of services, including bookkeeping, payroll, financial reporting, and advisory services, that support day-to-day operations.
They may employ accountants without CPA licensure and typically focus on management and operational accounting.
A CPA firm employs Certified Public Accountants who have passed licensing exams and meet state regulatory requirements.
In the United States, there are over 650,000 actively licensed CPAs, reflecting the professional standards required to hold this credential.
In addition to standard services, CPA firms can perform audits, reviews, and formal attestations of financial statements and represent clients before the IRS.
While all CPA firms are accounting firms, not all accounting firms are CPA firms. The distinction matters when audited financials or formal tax representation is required.
How do I measure whether they are actually adding value?
To truly measure value, you need to consider other factors aside from receiving reports on time.
In the first 3-6 months, improvements typically show up as cleaner books, fewer reconciliation issues, and faster month-end closes, often shortening reporting cycles by 20-40%.
You may also notice a decline in last-minute requests for missing data or corrections, indicating stronger processes and better organization.
Over the next 6-12 months, value should extend further into improved cash flow visibility, fewer compliance issues, and more predictable tax outcomes.
Reduced penalties, smoother audits, and proactive tax planning are strong indicators of effective performance.
At this stage, your accounting firm should help you anticipate potential issues and plan, rather than react to problems after they arise.
Time savings are another measurable benefit. Many business owners reclaim 5-15 hours per month previously spent on financial administration.
When your partner consistently improves accuracy, provides forward-looking insights, and supports better decision-making, it is delivering strategic value rather than just transactional support.
Regular review meetings and performance check-ins are also strong signs of a high-value accounting partnership.
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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.
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