Services

A full back office, without building one.

Engage a single piece where the pressure is highest, or hand over the whole operation. Every engagement is scoped to the practice — the same work, whether it's one attorney or a growing clinic.

Bookkeeping & accounting

Books you can actually trust

Day-to-day bookkeeping, monthly reconciliations, and a proper month-end close. We keep the general ledger accurate, categorize every transaction, and produce statements that are ready for a CPA, a lender, or an owner who wants a straight answer.

  • Monthly reconciliations
  • Accounts payable
  • Month-end close
  • Trust / IOLTA discipline
  • Year-end packages for your CPA

Billing & collections

Get paid faster, without chasing

Invoices sent on schedule, receivables tracked, and steady follow-up on what's outstanding — so revenue doesn't sit in aging buckets while the practice does the work. For healthcare, that extends to claims and remittance.

  • Invoicing & statements
  • A/R tracking & aging
  • Payment follow-up
  • Insurance claims & remittance
  • Retainer & trust replenishment

Payroll & HR administration

Payroll that runs itself

Payroll processing and filings, new-hire onboarding, and the employment records that are easy to let slip until they matter. People get paid correctly and on time, and the paperwork behind them stays current.

  • Payroll runs & filings
  • Onboarding & offboarding
  • Benefits administration
  • PTO & records
  • Contractor 1099s

Practice operations

The machinery of the day

Office management, vendor and contract oversight, and the workflows that turn a busy practice into a smooth one. The systems, the renewals, the small recurring decisions — handled, so they stop landing on the owner's desk.

  • Vendor & contract management
  • Software & systems setup
  • Process & workflow design
  • Front-office support
  • Document management

Compliance & licensing

Never miss a renewal again

We track the deadlines that carry real consequences — license and registration renewals, provider credentialing, regulatory filings — and keep the practice comfortably ahead of them, not scrambling the week they're due.

  • License & registration renewals
  • Provider credentialing
  • Regulatory filings
  • Annual-report & entity filings
  • Insurance renewals

Financial reporting & insight

Know where the practice stands

Beyond the books: dashboards, budgets, and cash-flow visibility, so the practice is run on real numbers instead of a gut feel and a bank balance. Plain-language reporting on a rhythm that fits how the owner thinks.

  • Owner dashboards
  • Budgets & forecasts
  • Cash-flow monitoring
  • Profitability by service line
  • Quarterly reviews
How an engagement works

Four steps from first call to steady state.

Consultation

We learn the practice, the systems, and where the friction actually is. No obligation, no pressure.

Onboarding

We take inventory, connect to the tools already in use, and build a clean handoff so nothing drops in the transition.

Steady state

We run the agreed work on a set rhythm — weekly, monthly, ongoing — and stay reachable when something comes up.

Reporting

Regular, plain-language reporting on the numbers and everything we've handled, so the practice always knows where it stands.

Ready when you are

Not sure which pieces you need?

Most practices start with the one thing that's hurting most and grow the engagement from there. Let's find that starting point together.

Get in touch