NEXACC

NEXACC is a Phoenix-based outsourcing firm that handles accounting, medical billing, payroll, and tax for healthcare practices and growing businesses across all 50 states. Their model is built around a practical idea: the people processing your claims should be the same people who understand your books. When one back-office team owns both functions, the numbers actually agree, and revenue decisions are grounded in collected cash, not billed estimates. The service offering covers the full back-office stack. For healthcare providers, that means daily claim submission, denial management worked through to payment, and medical billing across Medicare, Medicaid, managed-care plans, and commercial payers. Credentialing and compliance support are included on the practice side. For small businesses and startups, NEXACC provides bookkeeping with a close guaranteed by business day 5, monthly financial reporting, multi-state payroll, and tax preparation. All pricing is flat and published before engagement begins. No hourly billing, no surprise invoices, and a 30-day cancellation policy. The client base spans a wide range of healthcare settings: dental clinics, behavioral health and ABA practices, physical and occupational therapy groups, urgent care centers, primary care and specialty practices including dermatology, optometry, and chiropractic, home health and hospice agencies, DME suppliers, group homes, FQHCs, and rural health clinics. On the business side, NEXACC serves owner-led small businesses, startups, non-profits, grant-funded organizations, and community health agencies. The firm operates from Phoenix but takes clients in all 50 states through remote, systems-based delivery. Operationally, NEXACC runs inside the platforms clients already use and holds QuickBooks ProAdvisor status. A written HIPAA compliance program is in place, with a BAA signed before any protected health information is shared, plus encryption, access controls, and audit logging across all patient data workflows. Every account is led by a senior accountant rather than a junior staff member, and medical billing and multi-state payroll are handled by dedicated specialists. Onboarding takes roughly two weeks. New healthcare clients can request a free billing and A/R audit; new business clients can request a free books health check with written findings they keep regardless of next steps. For businesses evaluating outsourcing options, NEXACC is worth a direct conversation if clean financials, fast claims, and a fixed monthly cost matter more than a long-term contract lock-in. A free 30-minute consultation is available through the NEXACC website to scope the work and confirm fit before any commitment is made.