You Spent Years Mastering Medicine.
Let Us Master Your Books.
Insurance reimbursements, payroll, equipment depreciation — get a dedicated U.S.-based bookkeeper who understands the financial complexity of running a medical practice.
Bookkeeping for Every Type of Medical Practice
Whether you run a solo practice or a multi-provider group, we have the expertise to handle your books.
Dental Practices
Insurance billing reconciliation, lab costs, equipment tracking, and multi-provider payroll.
Primary Care & Family Medicine
Insurance reimbursements, EHR software costs, staff payroll, and practice overhead management.
Chiropractic Practices
Mixed insurance and cash-pay revenue streams, equipment depreciation, and front-desk payroll.
Optometry & Vision Care
Retail product sales, insurance billing, and frame inventory tracking alongside professional services.
Physical Therapy
Insurance authorization tracking, therapist payroll, and multi-location financial management.
Mental Health & Therapy
Insurance vs. private pay reconciliation, telehealth revenue, and solo or group practice bookkeeping.
Specialty Practices
Dermatology, orthopedics, urgent care — we match your bookkeeper to your specialty's financial needs.
Multi-Provider Groups
Physician group bookkeeping, partner draw tracking, and consolidated reporting across providers.
Medical Practice Finances Are Among the Most Complex of Any Business.
Generic bookkeepers don't understand the revenue cycle, insurance reconciliation, or regulatory requirements of healthcare.
Insurance Reimbursement Chaos
Medicare, Medicaid, BlueCross, Aetna — each payer remits differently and on different schedules. Reconciling insurance payments against billed amounts is a full-time job by itself.
Mixed Revenue Streams
Insurance payments, patient co-pays, self-pay accounts, and retail product sales all hit your accounts differently. Without clean separation, your P&L is meaningless.
Complex Healthcare Payroll
Physicians, PAs, nurses, front desk, and billing staff — often with different pay structures, benefits, and overtime rules. Healthcare payroll is uniquely complex.
Equipment & Depreciation
Medical equipment is expensive and depreciates on specific schedules. Imaging machines, dental chairs, surgical tools — all need to be tracked and depreciated correctly for tax purposes.
Accounts Receivable Management
Outstanding insurance claims, denied claims, and patient balances create AR complexity that directly impacts your cash flow. Without oversight, money slips through the cracks.
Zero Time After Clinical Hours
After a full day of patient care, the last thing you want to do is reconcile accounts. You became a doctor to practice medicine — not to manage spreadsheets.
A Bookkeeper Who Understands the Medical Revenue Cycle
We set up your QuickBooks to mirror your practice's revenue streams — insurance, co-pays, and self-pay tracked separately so you always know what you've actually collected vs. what's still outstanding.
- Insurance payment reconciliation — every payer matched to remittance advice
- Separate tracking by revenue stream — insurance vs. self-pay vs. retail
- Payroll for all staff types — clinical, administrative, and contracted
- Equipment depreciation schedules — maximized and IRS-compliant
- Monthly P&L by provider or location — see what each arm of your practice earns
- CPA-ready books at year-end — clean, organized, and audit-proof
📊 Practice Financial Dashboard — Monthly
✓ All ReconciledEverything We Handle for Your Medical Practice
Your dedicated bookkeeper covers the full financial picture — so you can focus on patient care.
Insurance Payment Reconciliation
Every payer's remittance matched against your billing system and bank deposits monthly.
Multi-Staff Payroll Tracking
Physicians, nurses, PAs, and admin — all payroll reconciled with correct classification.
Equipment & Asset Depreciation
Medical equipment tracked on correct depreciation schedules for maximum tax benefit.
Accounts Receivable Monitoring
Outstanding claims and patient balances tracked so nothing falls through the cracks.
Bank & Credit Card Reconciliation
Every account balanced monthly — no unrecorded transactions or mystery charges.
Monthly P&L by Location or Provider
See profitability broken down by provider, location, or service line — not just practice-wide.
Supply & Inventory Expense Tracking
Medical supplies, lab materials, and retail products correctly categorized and tracked.
Tax-Ready Books Year-Round
No scrambling at year-end. Your CPA gets organized, clean books they can file from directly.
Catch-Up Bookkeeping
Behind on your books? We'll clean up months of backlogged records before starting monthly service.
100%
U.S.-based bookkeeping professionals
$0
Setup fees to get started
24hr
Matched with your dedicated bookkeeper
20+
Years of accounting experience
Plans Built for Practices of Every Size
No hidden fees. No setup costs. Cancel anytime with 30 days notice.
Solo Practice
For solo practitioners and small practices with up to 150 monthly transactions.
- Monthly bookkeeping & reconciliation
- Profit & Loss statement
- Dedicated bookkeeper
- Up to 150 transactions/mo
- Email support
Group Practice
For practices with multiple providers, staff payroll, and higher transaction volume.
- Everything in Starter
- Up to 400 transactions/mo
- Cash flow statement
- Monthly bookkeeper calls
- Unlimited phone & email support
Multi-Location
For large practices, multi-location groups, and specialty practices with high volume.
- Everything in Growth
- Up to 750 transactions/mo
- Multi-entity & multi-location
- Annual tax filing included
- Dedicated account manager
High-volume practice or hospital group? Let's talk custom pricing →
Medical Practice Bookkeeping Questions
Yes. We work alongside your practice management and billing software — whether that's Kareo, AdvancedMD, DrChrono, or others. We reconcile insurance payments from your billing system against your bank deposits in QuickBooks, giving you a complete and accurate picture of your collections.
Absolutely. Our Growth and Scale plans support multi-provider and multi-location practices. We set up QuickBooks with classes and locations so you can see profitability broken down by provider, department, or location — not just as a single blended number.
We reconcile each payer's remittance advice against what was billed and what was deposited. Discrepancies, denied claims, and write-offs are all tracked and categorized correctly. This gives you an accurate accounts receivable picture and helps identify payers with chronic underpayment issues.
Yes. We operate with strict confidentiality and data security practices. We work with financial data only — we never access patient records or clinical information. All data is handled through encrypted, secure channels and our team operates under strict confidentiality agreements.
Yes — and most CPAs love working with us because your books arrive clean and organized. We provide your CPA with QuickBooks access, a complete year-end package, and any supporting schedules they need. If your CPA has specific formatting preferences, we accommodate them.
Ready to Get Your Practice Finances Under Control?
Get matched with a dedicated medical practice bookkeeper in 24 hours. Setup takes 8 minutes and there are no fees to get started.
Accountlet LLC provides bookkeeping services and does not offer Audit, Review, or Attestation Services. Accountlet does not provide medical billing services. Prices shown are starting rates. Final pricing based on transaction volume and services selected.