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.
Understanding you makes us better. That is how we work smarter.
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsARDEM Incorporated Services
Data sourced from the agency's DesignRush profileFinancial Healthcare Retail Manufactuing Logistics Government
ARDEM Incorporated Reviews & Testimonials
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'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'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 ReviewsOffshore Data Entry Service: Precision, Speed and Security
Top Offshore BPO company...
Top Services:
- BPO
- Accounting
- Customer Support
- Market Research
- Web Design
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $5/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 4 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsOffshore India Data Entry Services
Data sourced from the agency's DesignRush profileallianze bpo nexgen india data entry
Offshore India Data Entry Reviews & Testimonials
Document Digitization Review from Lisa Rozario
We approached offshore data entry for our data entry process. They adeptly transformed our process. An excellent and efficient team, delivering quality work on time. I recommend Offshore India Data Entry for data entry requirements.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsYour Finance Team Bookkeeping, Accounting & Strategy for One Monthly Price
CoCountant gives you a fully managed finance team that handles your books, reporting, and financial questions all for a fixed monthly fee. We work with startups and growing businesses that are tired of inconsistent freelancers, bloated firms, and DIY tools that only get you halfway there...
Top Services:
- Accounting
- Location
- Cambridge, Massachusetts
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCoCountant Services
Data sourced from the agency's DesignRush profileLaunchPath Innovation Rhino Web Group, LLC Coast2Coast HR, LLC Datum Backpack OHSL Gemini Brass & Woodwinds EmkaoFoods Inc. Buoyant LLC My MSP Solutions, Inc.
CoCountant Reviews & Testimonials
Ryan Walker's Review Sourced from Google
There is a reason this company only had one review as of 12/30/2025. I think they are very new and have no idea what they are doing. It's taken months to have them review bank statements and create simple Profit and Loss Statements for a business with less than 2800 total transactions over 2.5 years. I have had to do most of the work and spent hours correcting their attempts at bookkeeping. I needed the task completed quickly and they said they could get it done but failed to deliver.It feels like they are just trying to use AI to have the work completed and it's all wrong. I am seeking a refund and might have to resort to a credit card charge back. You get what you pay for or in this case I didn't get anything that I paid for.
Gilcimar Berbel's Review Sourced from Google
Bianca has been taking care of my companies for over 5 years, and I couldn’t be more grateful for her excellent work and outstanding service. Always professional, reliable, and dedicated — I truly appreciate everything she and her team do!Muito obrigado por tudo!!!!!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsPrecision Billing, Maximum Revenue, Minimal Risk.
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
- BPO
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSwiftCare Billing LLC Services
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Insurance Industry HR Industry BPO Outsourcing Medical Billing
SwiftCare Billing LLC Reviews & Testimonials
Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsWe Simplify Your Finances
Simplify your small business finances with our comprehensive bookkeeping guide and services. Learn essential tips, find affordable solutions, and stay organized for success...
Top Services:
- Accounting
- Location
- McLean, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsProsperitee Accounting Services
Data sourced from the agency's DesignRush profileFinance Industry Health Care Industry Corporate Services Industry
Most businesses don't have a finance problem. They have a clarity problem.
We help growing businesses see clearly with advisory, accounting, tax, and transaction services that turn financial complexity into competitive advantage...
Top Services:
- Accounting
- Location
- King of Prussia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Portfolios Count
- 1 Project Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSataurius Strategic Consulting Services
Data sourced from the agency's DesignRush profileMkhail Knis Mike Pascale Matt Gehlbach Angela Teagle
PAYMENT AND BUSINESS SOLUTIONS TO HELP YOU ACHIEVE GROWTH
About Integrated Merchant Alliance, Inc. (IMA)….IMA is a nationally recognized business consulting and solutions company. We offer a customized suite of products that are designed to help our clients control costs and expand market share. Specialties include payment processing and transaction acceptance...
Top Services:
- Accounting
- Location
- Omaha, Nebraska
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsIntegrated Merchant Alliance, Inc Services
Data sourced from the agency's DesignRush profileBusiness-to-Business Medical Insurance
Guiding Your Finances With Precision and Insight
Red Bike Advisors is a modern accounting firm that delivers strategic financial guidance, tax planning, and advisory services to help businesses grow with confidence...
Top Services:
- Accounting
- Location
- Wilmington, North Carolina
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsRed Bike Advisors Services
Data sourced from the agency's DesignRush profileActionCOACH The Christian Cardamone Team nCino
Red Bike Advisors Reviews & Testimonials
Kimberley Wozniak's Review Sourced from Google
My husband and I have been using Adam Shay CPA, PLLC for 3 years now. We are very pleased with his company and services. Trust is the word we would use to describe his service. We know that we can always trust that Mr. Shay is always acting in our best interest and his knowledge of current tax laws is of a great comfort to us. We also very much appreciate the professionalism of his staff. We recommend this company to anyone looking for a CPA that they can trust is acting in their best financial interest. He and his staff are also always available to answer any questions that you may have in regards to your finances. Mr Shay always acts in a very timely manor as well, which we all are aware that this is very important to us. We do not give 5-Star ratings very often but this company certainly deserves every star.
Jim's Review Sourced from Google
I've worked with Adam for just at 3 years now and I recommend them to everyone I know. Every year, my friends are dreading tax season while I'm at ease because I know everything is taken care of by the team at Adam Shay. If they can save you money or put you in a better position for moving forward, they will help make it happen. This kind of attention and care is exactly what you should look for. I trust that they do my taxes as if they were their own. Highly recommended.
Ryan Crecelius's Review Sourced from Google
I have been a client of Adam for the past 3 years now. He handles both my personal and business taxes and he does an amazing job! I met Adam when I first stared my company, DO GOOD Real Estate and he has been extremely helpful in making sure I take the right steps as I grow. His whole team is very knowledgable, friendly and I enjoy working with all of them. Adam has created a really great environment for his clients. Great guy all around...!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsCertified Public Accountant, opened an office in Lincoln, Nebraska
Perry L. Demma provides Tax Services, Bookkeeping services, Financial statement presentation, Payroll checks and returns and Sales tax preparation...
Top Services:
- Accounting
- Location
- Lincoln, Nebraska
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDemmaTAX Services
Data sourced from the agency's DesignRush profileMarketing Industry Small Business Industry Finance Industry
Together, We Can Create Your Financial Roadmap To Success
AVK Global Bookkeeping is here to help you out. They serve the cities of Phoenix, Chandler, Tempe, and Gilbert in addition to the neighboring communities, and they provide a complete variety of services to keep the financial aspects of your organization on track. Owners of businesses are well aware of how...
Top Services:
- Accounting
- Location
- Phoenix, Arizona
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAVK Global Bookkeeping Services
Data sourced from the agency's DesignRush profileFinancial Industry Small Business Industry Professional Services Industry
Integrity in Every Financial Endeavor.
Client Tax Services offers professional tax and accounting solutions to both individuals and businesses. With a commitment to exceptional service and accessibility, its team simplifies the complexities of tax compliance. Clients trust Client Tax Services to navigate the intricate world of taxation with...
Top Services:
- Accounting
- Location
- San Francisco, California
- Number of Employees
- 50 - 99
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsClient Tax Services Services
Data sourced from the agency's DesignRush profileDA Max Builders LLC Lanterman Insurance HCVT LLP (formerly with KPMG LLP)
Affordable bookkeeping service with 100% error free reports.
A New York-based firm offering expert bookkeeping and QuickBooks consulting services to businesses of all sizes...
Top Services:
- Accounting
- Location
- New York City, New York
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsStilz Bookkeeping Services
Data sourced from the agency's DesignRush profileStudio Zung Sur Mesure Biznexus Cohn Legal, LLC
Streamline your small business bookkeeping & reach your business goals.
Using the most up-to-date technology platforms available, Efficienxy will keep your small business running smoothly. Providing efficient and reliable virtual bookkeeping services tailored to solopreneurs, freelancers and service-based businesses...
Top Services:
- Business Consulting
- Accounting
- Location
- Rockville, Maryland
- Number of Employees
- Under 49
- Average Hourly Rate
- $75/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEfficienxy Services
Data sourced from the agency's DesignRush profileBarker Adoption Foundation Wright Insurance Heritage Chocolates Screwtop Wine Bar
Efficienxy Reviews & Testimonials
Linda Urbanski's Review Sourced from Google
It has been an absolute joy working with Jessica and Carla over the past year and a half. Jessica played a key role in helping me transition into ownership of a successful wine bar in Arlington, VA and has continued to be an invaluable asset to my business. She is incredibly responsive, knowledgeable, and makes bookkeeping and tax prep feel effortless. Her guidance and support have made a huge difference in helping me stay organized and on top of my finances.Carla is equally amazing—she manages receipts and expenses with impressive efficiency and professionalism, making QuickBooks organization a breeze. Their systems are streamlined, user-friendly, and truly designed to make a business owner’s life easier.I genuinely don’t know what I’d do without their support. I highly recommend working with Jessica and Carla for reliable, thoughtful, and expert bookkeeping and CPA services.
Muneeb Khadeer's Review Sourced from Google
I have been working with Jessica over the past year and highly recommend her bookkeeping and accounting services. She has been excellent at keeping our finances organized and providing clear, accurate reports. Her attention to detail and proactive approach has been an incredible help for me and my business and has enabled us to stay on top of our financial goals.
Khalid Usmani's Review Sourced from Google
I’ve worked with Jessica for the past five years, and she has been an absolute lifesaver for my business. As a small business owner, bookkeeping and accounting used to feel overwhelming, but Jessica has taken all of that off my plate. She’s incredibly easy to work with, super responsive, and ensures everything is up-to-date and accurate from start to finish.Her full-service capabilities mean that I never have to worry about missing a deadline or keeping up with the latest legal requirements. Jessica provides clear, comprehensive records, and always has me covered. Beyond her expertise, she’s just a really nice person who makes the whole process stress-free.I recommend Jessica to all my friends with small businesses, and she’s the first person I think of for any bookkeeping or accounting needs. If you’re looking for someone who can simplify your financial management, I highly recommend her!
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 ReviewsMedical Billing & RCM Company For Healthcare Practices
Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...
Top Services:
- Business Consulting
- Accounting
- BPO
- Location
- Corona, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsRevix MD Services
Data sourced from the agency's DesignRush profileInsurance Industry Corporate Services Industry Health Care Industry
Revix MD Reviews & Testimonials
George Gamouras, MD's Review Sourced from Google
This billing company is thorough and very accomodating to our needs. They also make sure to process claims in a timely manner.
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
Exceed Your Expectations!
Cover Operation is a high level and cost-effective insurance BPO solutions. Our unparalleled advantage is to hire 5-8 years' experienced insurance processors from world's top 3 insurance outsourcing vendors to work for you with a much lower price. Our optimized management will boost your productivity and...
Top Services:
- BPO
- Accounting
- Location
- Twentynine Palms, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $12/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCover Operation Services
Data sourced from the agency's DesignRush profileRetail Agency Wholesale Broker MGA & Carrier
Partnerships Built on Trust and Success
At Kim & Associates, PA, we offer a wide range of services. Throughout the years, we have been helping our clients with various business needs, from tax planning and preparation to setting up and managing the books to business development and retirement planning...
Top Services:
- Business Consulting
- Accounting
- Location
- Salisbury, Maryland
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsKim & Associates Services
Data sourced from the agency's DesignRush profileIT Industry Small Business Industry Finance Industry
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
Simplifying Billing. Maximizing Revenue.
TRUCARE is a trusted medical billing and revenue cycle management company helping healthcare providers simplify billing, improve collections, and maximize revenue...
Top Services:
- BPO
- Business Consulting
- Accounting
- Location
- Bermuda Dunes, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsTrucare Services
Data sourced from the agency's DesignRush profileJessica Miller Sarah Johnson Emily Carter
Co-create Smarter Businesses.
WNS is a global, digital-led business transformation and services company providing comprehensive data engineering, analytics, AI/GenAI, and business-process services enabling enterprises to modernize data infrastructures, unlock insights, and scale data-driven decision-making...
Top Services:
- Big Data Analytics
- Accounting
- AI Development
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsWNS Services
Data sourced from the agency's DesignRush profileHealth Care Industry Insurance Industry Manufacturing Industry
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 ReviewsFrom individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Top Services:
- Customer Support
- BPO
- Market Research
- Transcription Services
- Translation Services
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSmartPA Services
Data sourced from the agency's DesignRush profileCox-London Complete Refinish Collette CWMedia Krispy Kreme Total Oil and Gas
SmartPA Reviews & Testimonials
Aries Financial's Review Sourced from Google
Ended cooperation after several months of correcting commission statements for our advisers. Repeated silly errors in simple calculations and our team spent hours to check each commission statement which was frustrating and time consuming. And this all was £40 per hour charge to this company.Cherry on the cake was - hear this - several days delay in providing commission statements for all my team due to national elections in Uganda and internet disruptions there. My people were not paid on time and SmartPA refused to refund charge for the job.Beware!
Vicky Grobbelaar's Review Sourced from Google
Mandy has been a huge asset to Ethiqs and a lovely person to work with, efficient and friendly and a great team backing her. Highly recommended.
Pedro Mendoza's Review Sourced from Google
Holly has been a great help recently both in terms of my business and personal affairs. I am in the process of making some business structure changes in my private dental practice and she has assisted me with all the lengthy paperwork, ensuring that everything is in order. In addition, she has assisted me in researching properties and locations. I would not hesitate in recommending her services as her support has been invaluable to me at this extremely busy time and has allowed me to focus on my patients.Highly recommended +++++
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsBuilding A Better Working World
EY offers Accounting, Business Consulting, and IT Services with a mission to build a better working world. It provides insights and quality services that instill trust in global capital markets and economies. EY focuses on developing exceptional leaders who deliver on their commitments to all stakeholders...
Top Services:
- Business Consulting
- HR Outsourcing
- Accounting
- Cybersecurity
- IT Services
- Show more
- Location
- Sacramento, California
- Number of Employees
- 1000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEY Services
Data sourced from the agency's DesignRush profileQiagen Apple ASOS Microsoft Wawa
Simplify Solutions | Multiply Value
At Zeta-V, every engagement is built on collaboration, innovation, and long-term partnerships. We are committed to helping our clients transform ideas into practical, high-impact digital solutions that drive sustainable growth and lasting business value. Our expertise spans digital transformation...
Top Services:
- Staff Augmentation
- IT Services
- ERP Consulting
- CRM Consulting
- Accounting
- Show more
- Location
- Orlando, Florida
- 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 accountsZeta-V Technology Solutions Inc Services
Data sourced from the agency's DesignRush profileLargest Multilateral Bank in Asia Biggest BFSI research & insight Co, USA US Home Truss Co
Expert Guidance for Sustainable Growth
We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...
Top Services:
- eCommerce Development
- Web Development
- Digital Marketing
- Software Development
- Managed Services
- Show more
- Location
- Sugar Land, Texas
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMurkez Technologies Services
Data sourced from the agency's DesignRush profileHealth Care Industry Insurance Industry Real Estate Industry
Business Made Better
ProfitWerx helps small businesses in Klamath Falls and surrounding communities get more from their technology and online presence. We provide professional IT services, technical support, web design, and SEO solutions designed to help businesses run better and grow...
Top Services:
- IT Services
- Managed Services
- Cybersecurity
- Web Design
- SEO
- Show more
- Location
- Klamath Falls, Oregon
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsProfitWerx, LLC Services
Data sourced from the agency's DesignRush profileTableRun Once Famous Grill Klamath Snowflake Festival
ProfitWerx, LLC Reviews & Testimonials
Drew Patzke's Review Sourced from Google
ProfitWerx was great to work with. James helped us catch up on one year of bookkeeping and was very patient and clear in explaining everything, especially since we have no accounting or bookkeeping background. He communicated throughout the process to ensure everything was done correctly, and his services were thorough, timely, and affordable for our small business. We were so impressed that we’ve decided to keep him on as our bookkeeper going forward. Highly recommend!
Kaitlin Patzke's Review Sourced from Google
We had a great experience working with James at ProfitWerx. He helped us build our website, improve our search engine optimization, and create a booking system that made our event rental business much more automated and efficient for customers. Since working with him, our online presence has grown and our revenue has increased. Pricing is affordable, communication was clear and consistent, and the entire process was smooth. Highly recommend ProfitWerx!
Tyler Pettigrew's Review Sourced from Google
ProfitWerx completely improved our online visibility!We hired ProfitWerx for SEO, and the results have been outstanding. Our rankings jumped faster than expected, and we’re now showing up on Google for searches we never appeared in before. Traffic is up, leads are up, and the monthly reports make it easy to see exactly what’s working.They took time to explain everything, cleaned up our site, fixed technical issues we didn’t even know about, and built a smart strategy tailored to our business. If you want real SEO results from someone who actually cares about your success, ProfitWerx is the way to go. Highly recommend!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsModotech's ISi Helps Small & Mid-Tier P&C Carriers and MGAs Scale, Succeed & Sustain
ISi PAS is built and serviced by insurance professionals for insurance professionals...
Top Services:
- UI/UX Design
- IoT
- AI Development
- Software Testing
- Mobile App Development
- Show more
- Location
- Media, Pennsylvania
- Number of Employees
- 50 - 99
- Minimal Budget
- $50,000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsModotech Services
Data sourced from the agency's DesignRush profileSnap Insurance Service Cornerstone Operations Group ARI
Driven by Excellence
iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...
Top Services:
- Accounting
- BPO
- Business Consulting
- Call Centers
- HR Outsourcing
- Show more
- Location
- Raleigh , North Carolina
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $50,000 & Up
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsiRapidO Global Services
Data sourced from the agency's DesignRush profileFinance Insurance Health Care
iRapidO Global Reviews & Testimonials
Nurse Gigs's Review Sourced from Google
iRapidO offers top-quality services with impressive speed and professionalism. Their team handles projects efficiently and ensures consistent, high-value results. Great service experience with strong reliability—definitely recommended for businesses needing fast and dependable solutions.
Driver Gigs's Review Sourced from Google
iRapidO delivers outstanding quality and services. The team is highly professional, fast, and reliable, providing excellent results every time. Their support, pricing, and overall service experience make iRapidO one of the best choices for businesses. Highly recommended!
Abhishek Pal vlogz's Review Sourced from Google
I had a great experience working with iRapidO Global. The team is professional, responsive, and truly understands business needs. They deliver quality work on time and make collaboration smooth and efficient. I’m impressed with their expertise in global capability centers and how seamlessly they handle operations. Highly recommend them to any company looking for a reliable and experienced partner.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsSpecialty-Focused Medical Billing That Boosts Revenue Fast and Easily
At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...
Top Services:
- VR/AR
- CRM Consulting
- ERP Consulting
- Business Consulting
- Investment
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBilling Care Solutions LLC Services
Data sourced from the agency's DesignRush profileLinh Tran Melissa Renteria Donna Taylor harry
Billing Care Solutions LLC Reviews & Testimonials
Madiha Rehman's Review Sourced from Google
BCS has transformed our revenue cycle with accurate medical billing, faster reimbursements, and outstanding support. Their expertise has significantly improved our collections, reduced claim denials, and contributed to the financial growth of our practice. I highly recommend BCS to any healthcare provider seeking reliable and results-driven medical billing services.
Melanie Gutierrez's Review Sourced from Google
Excellent prior authorization services! The team is knowledgeable, responsive, and handled the entire process efficiently. They kept me informed throughout and worked hard to ensure timely approvals, reducing delays and stress. Their professionalism and attention to detail made a real difference. I highly recommend their services to anyone looking for reliable and efficient prior authorization support.
Rachelle Gepulla's Review Sourced from Google
Great experience working with them. They were knowledgeable, responsive, and easy to communicate with. I appreciated their focus on building a strong partnership while helping improve our RCM processes, plus they have a very caring CEO. I would definitely recommend them!!!!Billing Care Solutions is the best!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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.
Sources
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- Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
- The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.
Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.
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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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