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Finance & Accounting Companies in United States

Providers delivering finance & accounting from United States, 64 listed. Compare rates, language coverage, and timezone fit.

Languages: English (primary); Spanish available from many providers for bilingual U.S.Timezone: Full U.S.

Finance & Accounting providers in United States

11 Focus Medical Software (Lytec 2015) logo
1 Focus Medical Software (Lytec 2015)
San Francisco, United States
Verified

Medical billing service and software reseller specializing in Lytec 2015 and Dragon Medical Practice Edition for medical offices.

HIPAA
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21840 & Company logo
1840 & Company
United States
Verified

Global outsourcing and staffing partner helping businesses hire vetted professionals from 150 countries, reduce costs by up to 70%, and scale operations faster.

Per seat
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31Source BPO logo
1Source BPO
United States
Verified

AI-powered BPO and remote staffing solutions offering virtual assistants, AI agents, and full-time outsourcing services for business growth.

Retainer
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424/7 Medical Billing Services logo
24/7 Medical Billing Services
Marietta, Georgia, United States
Verified

End-to-end medical billing and revenue cycle management outsourcing for physicians, hospitals, and group practices across the USA.

500+ staffPer seatHIPAA
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5904 Bookkeeping logo
904 Bookkeeping
Jacksonville, United States
Verified

904 Bookkeeping is a Jacksonville-based QuickBooks bookkeeping and payroll practice serving small to mid-sized Florida businesses.

Retainer
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6AAG Wise Bookkeeping LLC logo
AAG Wise Bookkeeping LLC
Fox Lake, United States
Verified

Remote bookkeeping and payroll services for small businesses in Northern Illinois, powered by a Certified QuickBooks Online ProAdvisor.

Retainer
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7Adequate Bookkeeping logo
Adequate Bookkeeping
Newark, United States
Verified

Outsourced bookkeeping, accounting, and payroll services for businesses across multiple industries, delivered by certified accountants.

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8Agile CFO Solutions logo
Agile CFO Solutions
Indianapolis, United States
Verified

Agile CFO Solutions provides fractional CFO, controller, bookkeeping, and payroll services to small businesses, headquartered in Indianapolis, Indiana.

Retainer
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9Alorica logo
Alorica
Irvine, United States
Verified

Alorica is a global customer experience outsourcing leader combining digital-first technology with human expertise to deliver CX, trust & safety, and financial business services.

10000+ staffOutcome-based
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10American Bookkeeping Services logo
American Bookkeeping Services
Denver, United States
Verified

Professional bookkeeping and accounting services for businesses and individuals across the US, headquartered in Denver, Colorado.

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11Andy's Bookkeeping Service logo
Andy's Bookkeeping Service
Albuquerque, United States
Verified

Andy's Bookkeeping Service offers remote bookkeeping, payroll processing, and QuickBooks support for small to midsize businesses, based in Albuquerque, NM.

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12AR Medical Billing logo
AR Medical Billing
United States
Verified

Medical billing and revenue cycle management provider serving healthcare practices since 2008, from solo practitioners to large facilities.

HIPAA
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ARDEM Incorporated logo
ARDEM Incorporated
📍 New Jersey, United States
LanguagesEnglish
Back Office logo
Back Office
📍 United States
LanguagesEnglish
Back Office Accounting logo
Back Office Accounting
📍 United States
LanguagesEnglish
Back Office Legal logo
Back Office Legal
📍 Des Moines, United States
Size11-50
LanguagesEnglish
Back Office Staffing Solutions (BOSS) logo
Back Office Staffing Solutions (BOSS)
📍 United States
LanguagesEnglish
Back Office Support for Healthcare logo
Back Office Support for Healthcare
📍 Los Angeles, United States
LanguagesEnglish
Back Office Support Solutions (BOSS) logo
Back Office Support Solutions (BOSS)
📍 San Diego, United States
LanguagesEnglish
Backoffice logo
Backoffice
📍 United States
LanguagesEnglish
BackOffice LLC logo
BackOffice LLC
📍 Miami, United States
LanguagesEnglish
BestCFO logo
BestCFO
📍 New York, United States
LanguagesEnglish
Bob's Bookkeepers logo
Bob's Bookkeepers
📍 United States
LanguagesEnglish
Bookkeeper360 logo
Bookkeeper360
📍 United States
LanguagesEnglish
BPO Data Entry Help logo
BPO Data Entry Help
📍 United States
ISO 9001HIPAASOC 2
LanguagesEnglish
California Medical Billing logo
California Medical Billing
📍 Rancho Cucamonga, United States
LanguagesEnglish
CapActix logo
CapActix
📍 United States
ISO 9001ISO 27001GDPR
LanguagesEnglish
Capital CFO+ logo
Capital CFO+
📍 Saratoga Springs, United States
LanguagesEnglish
CFO Systems logo
CFO Systems
📍 Omaha, United States
LanguagesEnglish
CGS Nexus logo
CGS Nexus
📍 United States
LanguagesEnglish · Romanian · Spanish
CheaperTeam logo
CheaperTeam
📍 New York City, United States
LanguagesEnglish
Chief Bookkeeping Officer logo
Chief Bookkeeping Officer
📍 Los Angeles, United States
LanguagesEnglish
Concentrix logo
Concentrix
📍 United States
Size1000+
LanguagesEnglish · Mandarin Chinese · Dutch
Conduent logo
Conduent
📍 Florham Park, United States
Size50000+
LanguagesEnglish · French · German
CPa Medical Billing logo
CPa Medical Billing
📍 United States
HITRUST
LanguagesEnglish
CRI CFO Hub logo
CRI CFO Hub
📍 San Diego, United States
LanguagesEnglish
CS Outsource logo
CS Outsource
📍 Manhattan, NY, United States
LanguagesEnglish
Eric Buchholz Bookkeeping logo
Eric Buchholz Bookkeeping
📍 Phoenix, United States
Size1-10
LanguagesEnglish
Exact Bookkeeping Services LLC logo
Exact Bookkeeping Services LLC
📍 Camas, United States
LanguagesEnglish
Expert Bookkeeping for Brokers logo
Expert Bookkeeping for Brokers
📍 United States
LanguagesEnglish
Expert Mortgage Assistance logo
Expert Mortgage Assistance
📍 United States
ISO 9001
Size500+
LanguagesEnglish
FOCUS Insurance Services logo
FOCUS Insurance Services
📍 United States
LanguagesEnglish
G-Squared Partners logo
G-Squared Partners
📍 United States
LanguagesEnglish
Gallagher & Mohan logo
Gallagher & Mohan
📍 United States
Size201-500
LanguagesEnglish
GeBBS Healthcare Solutions logo
GeBBS Healthcare Solutions
📍 United States
LanguagesEnglish
Global Medical Billing Services logo
Global Medical Billing Services
📍 Miami, United States
LanguagesEnglish
Global Services BPO logo
Global Services BPO
📍 United States
LanguagesEnglish
GP Outsourcing Solutions logo
GP Outsourcing Solutions
📍 San Antonio, United States
Size500+
LanguagesEnglish · Spanish
HB
Healthcare Backoffices
📍 Fort Lauderdale, United States
LanguagesEnglish
Hire With Near logo
Hire With Near
📍 United States
LanguagesEnglish · Spanish
IO
Insurance Operations & Technology
📍 United States
LanguagesEnglish
LF
Law Firm Growth & Management Services
📍 United States
LanguagesEnglish
Long Island Bookkeepers (Good Bookkeepers on Call) logo
Long Island Bookkeepers (Good Bookkeepers on Call)
📍 Garden City, United States
LanguagesEnglish
Maxim Liberty logo
Maxim Liberty
📍 United States
LanguagesEnglish
OURS Global logo
OURS Global
📍 United States
LanguagesEnglish
OutsourceRCM logo
OutsourceRCM
📍 United States
ISO 27001HIPAA
LanguagesEnglish
Outsourcing Business Solutions (OBS) logo
Outsourcing Business Solutions (OBS)
📍 United States
Size1000+
LanguagesEnglish
Rely Services logo
Rely Services
📍 United States
HIPAA
LanguagesEnglish
ROI CX Solutions logo
ROI CX Solutions
📍 United States
PCI DSSHIPAAHITRUST
Size5000+
Selectsys logo
Selectsys
📍 United States
LanguagesEnglish
S
Solvo
📍 Chandler, United States
LanguagesEnglish
South logo
South
📍 United States
LanguagesEnglish · Spanish
TDS Global Solutions logo
TDS Global Solutions
📍 United States
LanguagesEnglish · Spanish · Arabic
Tech2Globe logo
Tech2Globe
📍 New York, United States
LanguagesEnglish

Finance & Accounting rates in United States

U.S. onshore outsourcing carries a clear rate premium. Indicative 2025 to 2026 ranges: customer support agents bill at $28 to $45 per hour fully loaded, compared to $12 to $18 in LatAm and $6 to $12 offshore. Software development runs $75 to $135 per hour nationally, with California and New York reaching $50 to $300 per hour depending on specialization. HR outsourcing runs $50 to $200 per employee per month for SMBs; regulated industries typically carry a 10 to 20 percent compliance premium. What drives cost up: specialization, compliance requirements, geography, and dedicated versus shared delivery models.

Why United States for finance & accounting

  • Compliance-ready delivery: onshore vendors are built around U.S. regulatory requirements; no gap to bridge, no interpretation risk.
  • Deep vertical specialization: healthcare RCM, insurance claims, legal process outsourcing, financial operations, and IT services are mature practice areas with real process depth.
  • Communication quality: same-language, same-timezone delivery eliminates the hidden cost of miscommunication, rework, and escalation delays.
  • IT and technical talent: U.S. IT outsourcing revenue is projected at $213.6 billion in 2025; the ecosystem for specialized development, cybersecurity, and managed IT is well-developed.
  • Outcome-based contract maturity: outcome-based contracts are the fastest-growing engagement category in U.S. IT outsourcing, meaning vendors are increasingly accountable for results, not just hours.
  • HR and payroll expertise: PEO and HR outsourcing vendors are experienced with multi-state complexity, benefits administration, and compliance-heavy industries.

Frequently asked questions

How much does finance & accounting cost in United States?
Indicative blended rates for finance & accounting in United States run about $40 to 80/hr, depending on scope, seniority, volume, and compliance needs. U.S.
Why choose United States for finance & accounting?
Compliance-ready delivery: onshore vendors are built around U.S. regulatory requirements; no gap to bridge, no interpretation risk. Deep vertical specialization: healthcare RCM, insurance claims, legal process outsourcing, financial operations, and IT services are mature practice areas with real process depth. Communication quality: same-language, same-timezone delivery eliminates the hidden cost of miscommunication, rework, and escalation delays.
Is U.S. onshore outsourcing worth the cost premium?
It depends entirely on the process. For regulated, high-context, or brand-sensitive work where offshore friction creates real compliance or quality risk, yes. For repeatable, documented, high-volume work, probably not. The rate premium is real: $28 to $45 per hour for support versus $6 to $12 offshore. Do the math on what a quality failure or compliance breach would actually cost you.
What is the typical rate for a U.S. onshore customer support agent?
Indicative 2025 to 2026 range: $28 to $45 per hour fully loaded for outsourced onshore call center agents. The average base salary for an in-house U.S. support rep runs around $18.80 per hour; the outsourced billing rate reflects overhead, management, QA, and margin on top of that.
What types of work are best suited to U.S. onshore outsourcing?
Healthcare RCM, insurance claims processing, legal process outsourcing, financial services compliance operations, complex IT and software development, multi-state HR and payroll, and high-value or sensitive customer interactions. If the work requires HIPAA, SOX, or PCI-DSS compliance and involves U.S. customer data, onshore is often the cleaner choice.

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