EXCELLENCE · INTEGRITY · IMPACT
Accounting and medical billing for your business. One team, not five vendors.
You've had a strong month of visits, but the deposits don't show it. Denials are piling up, the books are behind, and payroll is still due. We work the claims and close the books together. Julius personally reviews the work, and you talk to the people doing it.
Phoenix-based · Serving clients nationwideIRS Authorized e-file Provider · Intuit ProConnect Tax (see how) · BBB accredited
Outsourcing Value Estimator
Price your service mix, or price the cost of keeping it in house
Medical billing appears once you select a healthcare practice.
Choose a service from the dropdown to start building your estimate.
Support for your practice or business
Start with the work that's fallen behind. We can connect the rest.
I run a healthcare or behavioral-health practice
Billing, books and payroll under one team — claims submitted and denials followed up, and a P&L that agrees with collected cash.
See practice servicesI run a growing business
Bookkeeping, monthly close, payroll and tax handled by a named senior accountant on a flat monthly fee.
See accounting servicesI'm starting or restructuring a business
Business launch advisory on entity structure and set-up steps, then books and payroll set up correctly from day one.
See advisory servicesNot sure yet? Browse every service or see pricing.
Our promise
Accounting, medical billing, credentialing, compliance, payroll and tax — under one roof, so the people submitting your claims are the same people who can tell you what the numbers mean.
Excellence
We check the claim details and reconcile the books, then explain what needs your attention.
Integrity
You'll hear what's pending, what's wrong and what we're doing about it. No guessing.
Impact
We connect your billing and your books so you can see where cash is getting held up.
“The goal is not just to understand the numbers, but to create value through insight.”
Who we serve
Built for owners who need the numbers right the first time.
- Dental clinics
- Behavioral health & ABA
- Physical & occupational therapy
- Urgent care
- Primary care & specialty groups (dermatology, optometry, chiropractic)
- Home health & hospice
- DME suppliers
- Group homes & residential care
- FQHCs & rural health clinics
- Owner-led small businesses
- Startups & new entities
- Non-profits & group practices
- Grant-funded & federally reimbursed providers
- Community health & non-profit agencies
Serving healthcare practices and businesses in Arizona and nationwide.
Systems fluency
Built around the platforms you already use
ADP
Gusto- MS 365
Xero
QuickBooks Online
Intuit ProConnect- Keeper
- Epic
- Kipu
- Office Ally
- TheraNest
- Avea
- ICANotes
- BestNotes
NEXACC works within the listed systems. Platform names identify compatible software and do not imply endorsement.
Proof at a glance
- Serving businesses & healthcare practices
- Since 2021Small businesses and healthcare practices
- Businesses helped
- Hundreds of businessesBilling and business finances together
- Clients served
- NationallyFrom Phoenix, AZ
Why | NEXACC
One conversation connects the whole picture
You shouldn't have to chase a biller, a bookkeeper and a tax preparer for the same answer. We'll look at the problem with you and agree on what to tackle first.
Book a free 30-minute call- 01
Senior judgment, not just data entry
Julius personally reviews the work. When something doesn't add up, we raise it with you.
- 02
Flat monthly pricing, scoped up front
A fixed monthly fee based on transaction volume and scope — agreed before we start. No hourly billing, no surprise invoices for a phone call.
- 03
Specialists for the hard parts
You talk to the people submitting your claims and closing your books. You don't have to explain your practice to a new vendor every time.
Onboarding | Timeline
A clear handoff, without losing the process
If your biller quit or the books have been left behind, we start by finding out what's still open. Then we agree on the handoff and the work ahead.
- 01Talk
Free consultation (30 minutes)
We look at where your books stand today, what's actually broken, and what compliance exposure you're carrying. You leave with a clear read whether or not you hire us.
- 02Agree
Scope and flat-rate proposal
We put the scope and pricing in writing, along with what we'll need from your team. You decide before work begins.
- 03Prepare
Onboarding and cleanup
We take over your ledger, reconcile any backlog, migrate or clean up your chart of accounts, and set the close calendar.
- 04Review
Monthly rhythm
Books closed on schedule. Financials delivered with a written summary of what changed and what to watch. A standing call whenever you want one.
Healthcare practices · Free offer
Free medical billing & A/R audit
We review your denials, A/R and payer mix and tell you honestly where revenue is leaking — whether or not you work with us.
Small businesses · Free offer
Free books health check
Send read-only access to your accounting file and we'll return a written review of what's clean, what's exposed, and what it would take to fix.
- Reconciliation gaps & unmatched transactions
- Misclassified accounts and chart cleanup
- Aging receivables and collection risk
- Payroll tax and compliance exposure
No cost, no obligation, and you keep the findings whether you work with us or not.
What clients actually say
Client testimonials
- Encryption, access controls and audit logging, with a BAA signed before any PHI. Security & compliance detail →
- IRS Authorized e-file Provider · Intuit ProConnect Tax. About our team →
- Practices, trades, professional services, e-commerce and startups. Industry deep-dives →
Phoenix, Arizona · Live desk
Local enough to visit. Cloud enough to scale.
We know Arizona TPT filing, state withholding, and exactly what local lenders and landlords want to see in a financial package — and we run the same close calendar for clients three time zones away.
- Live
Phoenix, AZ
Scottsdale · Mesa · Tempe
- Live
Founded in 2021
Serving businesses nationally from Phoenix
- Live
Julius personally reviews the work
Billing, bookkeeping, payroll and tax connected
Talk to the people doing the work
A small firm, serving clients nationally
Questions worth asking
5 answersTalk through the work that’s holding you up.
Bring your current setup and the problem you need fixed. We'll look at the work with you and agree on the next step.
- 30 minutes
- No obligation
- No pressure — you leave with a clear next-step recommendation