Bookkeeping & Medical Billing for Howell Businesses
Bookkeeping and medical billing for Howell businesses. A Macomb County firm serving Livingston County remotely.
Bookkeeping for Howell Businesses
Most bookkeeping firms in Livingston County are either solo operators stretched thin or larger accounting practices focused on tax season. If you need consistent monthly support without the overhead of a bigger firm, options are limited. That’s where we come in. We’re a Detroit medical billing service and bookkeeping firm based in Macomb County, working remotely with businesses across the Metro Detroit region including Howell and Livingston County.
Our clients range from medical practices near the hospital to contractors working throughout the county. We handle monthly bookkeeping, payroll, accounts management, and for healthcare providers, full revenue cycle management. Everything happens digitally, which keeps costs reasonable and eliminates the need for you to drive somewhere for a meeting.
Monthly Bookkeeping
Monthly Bookkeeping
Transaction categorization, bank and credit card reconciliation, monthly close, P&L and balance sheet. Your books stay current every month so you always know where the business stands.
Bookkeeping Cleanup
Bookkeeping Cleanup
Books that haven’t been touched in months or years need cleanup before ongoing service makes sense. We reconstruct what’s missing, fix errors, and deliver a clean starting point you can actually use.
Payroll Processing
Payroll Processing
Pay runs, tax deposits, quarterly filings, W-2s and 1099s. Your employees get paid on time, Michigan payroll taxes get handled correctly, and you stop tracking deadlines yourself.
Medical Billing
Medical Billing
Claims submission, payment posting, denial management, AR follow-up. For medical and dental practices, we handle the entire revenue cycle alongside your full-service bookkeeping so nothing falls through the cracks.
Howell Businesses We Work With
Howell is the commercial center of Livingston County. Downtown has retail and restaurants. The hospital and surrounding medical offices employ hundreds. Contractors and trades serve a growing population that keeps building and renovating. These businesses need financial support that goes beyond dropping receipts in a shoebox until April.
We work with established businesses typically doing $50K to a few million in revenue. Big enough to need real bookkeeping. Not so big that a full-time controller makes sense. If you’ve outgrown doing it yourself but can’t justify a hire, that’s the gap we fill.
Medical and Dental Practices
Medical and Dental Practices
Healthcare practices around St. Joseph Mercy Livingston and throughout the county. We understand the lag between providing care and collecting payment. Your books reflect what you actually collected, not just what you billed.
Contractors and Trades
Contractors and Trades
HVAC, plumbing, electrical, roofing, general contractors building and renovating across Livingston County. Job costing, progress billing, and financials that help you bid accurately on the next project.
Retail and Restaurants
Retail and Restaurants
Downtown Howell shops, restaurants along Grand River, and service businesses throughout the area. High transaction volumes, sales tax compliance, and inventory tracking handled so you can focus on customers.
Professional Services
Professional Services
Law firms, insurance agencies, consultants, and other professionals serving Livingston County. Clean books for partner review, accurate overhead tracking, and financials that support growth decisions.
Common Questions
You're in Macomb County. Why would a Howell business work with you?
Bookkeeping happens digitally. Your bookkeeper's physical location matters less than whether they know what they're doing and respond when you need them. We work remotely with businesses across Metro Detroit, and Howell is an easy drive when in-person meetings make sense.
What does monthly bookkeeping cost?
Starting at $199 per month depending on your transaction volume and complexity. We quote a flat monthly rate after reviewing your situation so there are no surprises.
Can you help with medical billing too?
Yes. We started in medical billing before expanding into bookkeeping. For healthcare practices, we can handle both the revenue cycle management and the books, which eliminates the disconnect between what you bill and what shows up in your financials.
My books haven't been touched in months. Can you fix that?
Yes. Catch-up work is common. We organize the backlog, reconcile accounts, and get everything current before transitioning to monthly service.
Do you handle Michigan payroll taxes?
Yes. Payroll processing, tax deposits, quarterly filings, W-2s, and state unemployment. We keep you compliant with Michigan requirements every pay period.
Metro Detroit's Small Business Bookkeeper
The Next Step:
A Short Conversation
Tell us about your business and your current bookkeeping situation. We'll listen, answer your questions, and give you a clear quote.
