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.
Discover the Best Accounting Firms in the US
5 Companies-Rankings updated: September 04, 2026
Every accounting firm featured on DesignRush is evaluated for service scope, compliance expertise, and verified client feedback. Some featured placements may be paid.
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ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...
Top Services:
BPO
Accounting
Location
Hillsborough Township, New Jersey
Number of Employees
250 - 499
Minimal Budget
$1,000 - $10,000
Portfolios Count
8 Projects Listed
ARDEM Incorporated Services
BPO
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Financial
Healthcare
Retail
Manufactuing
Logistics
Government
Data sourced from the agency's DesignRush profile
ARDEM Incorporated Reviews & Testimonials
Matt Venner IT Manager at Agile Therapeutics
4.8★
Outsourcing Review from Matt Venner
ARDEM created a solution for our AP workflow that integrates seamlessly into our current process. It did not require any extensive IT overhaul and is saving us quite a bit from our previous antiquated ways. Process was fast and the quality of their work is great. Highly recommend their team!
Adi S Review from Google
5.0★
Adi S's Review Sourced from Google
I am currently working as an HR Intern at ARDEM Incorporated, and it has been a very positive learning experience for me.The organization provides a professional and supportive work environment where freshers are given the opportunity to understand real-time HR operations, recruitment processes, and employee engagement activities. The team is approachable, collaborative, and always willing to guide, which makes it easier to learn and grow.One of the key highlights is the structured workflow and clear communication, which helps in developing practical skills such as candidate coordination, documentation handling, and stakeholder interaction. The company also promotes a healthy work-life balance and encourages employees to take ownership of their responsibilities.Overall, ARDEM has been a great place to start my HR journey, helping me build confidence, enhance my professional skills, and gain valuable industry exposure.
Pamela Morin Review from Google
5.0★
Pamela Morin's Review Sourced from Google
Ardem Inc. has been a great partner for our accounts payable process. John Copeland is responsive and our analysts do a great job of following processes and communicating.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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 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 Review from Google
5.0★
Ray Nelson's Review Sourced from Google
Excellent Medical CredentialingMedwave 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 Review from Google
1.0★
gregory Daniel's Review Sourced from Google
Unprofessional Conduct and Tardiness regarding Scheduled MeetingI 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
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
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
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
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.