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.
Precision Billing, Maximum Revenue, Minimal Risk.
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
- BPO
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
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 ReviewsAccounting Hassles Gone. Your Life Simplified.
Rayvat Accounting specializes in streamlining financial management for small and medium businesses. Offering comprehensive outsourced solutions, including bookkeeping, payroll, and tax preparation, the firm helps clients solve complex accounting challenges. Its personalized approach and expertise help...
Top Services:
- Accounting
- Location
- Arizona, 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 accountsRayvat Accounting Services
Data sourced from the agency's DesignRush profileManufacturing Industry Real Estate Industry Restaurant & Food Industry
A Forecast for Financial Success
Silicon Valley Finance Group (SVFG) delivers comprehensive accounting and financial services tailored for venture-backed startups. With a focus on growth strategies, data analytics, and chief financial officer support, SVFG helps companies navigate their financial journey from inception to profitability. Its...
Top Services:
- Accounting
- Location
- San Francisco, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $99/hr
- Minimal Budget
- $1,000 - $10,000
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
Small Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsFred Lundin CPA LLC Services
Data sourced from the agency's DesignRush profileRetail Industry Financial Industry eCommerce Industry Legal Industry
Tailored Financial Insights, Exceptional Outcomes
Compass CPA, PC, we provide top-notch Virtual Controller, Accountant, and CFO services for a fraction of the cost of in-house hires. Our dedicated team of virtual accountants, CPAs, and tax professionals helps you achieve business goals with comprehensive financial reporting, forecasting, and tax...
Top Services:
- Accounting
- Business Consulting
- Location
- San Rafael, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCompass CPA, P.C. Services
Data sourced from the agency's DesignRush profileKleerCard Inc Rainmaker Games Poplar Technologies Inc Lifeboost LLC Dive With Buddy The Institutes for the Achievement of Human Potent MIG Global LLC Caha Design Ikonick LLC Broadband Planning LLC
Numbers Tell The Story
Aureus Advisory Partners is a tax and financial advisory firm based in Texas, serving individuals, businesses, and athletes across the United States. Led by MJ Cunningham, an IRS Enrolled Agent, we specialize in Payroll Tax Resolution, Tax Strategy, CFO Services, Multi-State Compliance, and NIL Athlete Tax...
Top Services:
- Accounting
- Business Consulting
- Location
- Helotes, Texas
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAureus Advisory Partners Services
Data sourced from the agency's DesignRush profileAdvalis Inc SafeRide Health Lawless Pilates
Modern Accounting Built To Grow Your Business
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
- Accounting
- HR Outsourcing
- BPO
- Location
- Syracuse, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $1/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHiline Services
Data sourced from the agency's DesignRush profileRitual Vetted Flow Kana
Hiline Reviews & Testimonials
Ryan McCarthy's Review Sourced from Google
Have been using Hiline for the past 5+ years and they have been great. They manage all of my accounting, bookkeeping, and even HR services.
Tom Cooney's Review Sourced from Google
Been using G&C since first day of business and have watched their team grow with ours! They are very knowledgeable, resourceful and quick to respond to our needs. The modern boutique fits perfectly with our operations!
Andy Orr's Review Sourced from Google
The Gardner & Capparelli are an incredible source of value, strategy, and support for our creative business. Our first year working with their tax team helped our internal accounting group identify previously unknown tax credits, as well as helping us better prepare for scaling our operations for years to come. I can't thank Matt, Jim, and their entire team enough!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsPeople-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
Law Firm Support Services
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
Top Services:
- Call Centers
- Accounting
- BPO
- PPC
- Digital Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEquivity, Inc. Services
Data sourced from the agency's DesignRush profileLegal Industry Real Estate Industry Finance Industry
Equivity, Inc. Reviews & Testimonials
Melina Montes's Review Sourced from Google
Equivity has been a great addition to our business. Their proactive approach, commitment, and attention to detail have played a great role in the success of our operations. Equivity truly went the extra mile to understand our operation and assemble an exceptional support team! Their representatives demonstrate a high level of professionalism and consistently provide excellent customer service. Equivity is the perfect choice if you're seeking top-tier service tailored to meet your business needs.
Excellence Team's Review Sourced from Google
Equivity is a game-changer. Their team is highly knowledgeable and skilled in customizing their services to match our specific needs, which is super impressive. They frequently ask for our feedback and are quick to adapt to our requirements. Highly recommended!
Amanda Estey's Review Sourced from Google
I've always been able to get quality help in a timely manner when using Equivity Virtual Marketing Assistants. Highly recommend them for both short and long term solutions. The team is wonderful to work with and will source the right talent for your needs.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsScaling teams, delivering software, and managing payroll worldwide
DevRank enables companies to scale fast by providing top-tier tech talent, full-cycle software development, and global payroll solutions. With 5,000+ professionals across the US, LATAM, Europe, and Asia, we help businesses build stronger teams, deliver projects faster, and expand globally without operational...
Top Services:
- Staff Augmentation
- Software Development
- Accounting
- Location
- Fort Lauderdale, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $45/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDevRank Services
Data sourced from the agency's DesignRush profileAutodesk ArcTouch Beta Acid Sodak Labs Asset Control Gresham NTT Data 2100 Consulting
DevRank Reviews & Testimonials
Abdeltwab Mohamad's Review Sourced from Google
DevRank is an exceptionally amazing company , although i have short time working them , but it was a great journey since day one. people there are very supportive and helpful, communication is top , opportunities and clients matching is great and benefits are quite satisfying . I would really choose (and i hope) to work again with DevRank without much thinking.
Gabriel Sepulveda's Review Sourced from Google
DevRank is great company to work with. I've worked for DevRank around 1 year. They have been very supportive and they gave all the support needed and also a nice environment to work and develop my skills.
Elias Escalante's Review Sourced from Google
DevRank is an amazing company to work with. For the last 3+ years they have helped me match with great projects and talented people. I can say I have grown a lot as a developer working with DevRank. I also appreciate the empathic way in which they handle their staff and their pro active approach at matching great projects with talented developers.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsTransform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!
Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...
Top Services:
- Digital Marketing
- SEO
- PPC
- Social Media Marketing
- Customer Support
- Show more
- Location
- Brookfield, Connecticut
- Number of Employees
- 50 - 99
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSaevah Services
Data sourced from the agency's DesignRush profileHealth Products For You Rehab Store Decorators Best Stanzme Interact123 Law Office of Afsha Rangwala Shop Wound Care Damozelle
Expert Accounting And Tax
Ignition Tax is a professional accounting and tax services firm dedicated to supporting small businesses with accurate, compliant, and cost-effective financial solutions. With expertise across tax preparation, bookkeeping, payroll, and business registration, the firm simplifies complex financial processes so...
Top Services:
- Business Consulting
- Location
- New York City, New York
- 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 accountsIgnition Tax Services
Data sourced from the agency's DesignRush profileApex Retail Solutions LLC BluePeak Logistics Inc. Greenfield Property Group Nexa Digital Commerce LLC Summit Home Services Co. BrightPath Consulting Group UrbanNest Realty Partners PrimeEdge Restaurant Ventures Sterling Health & Wellness LLC Elevate Tech Solutions Inc.
Accounting Firms by City
Accounting Firms by State
Accounting Specializations in the US
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Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
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.















