ClearSmart, Inc. is an Oregon-based firm offering clients a comprehensive suite of medical billing, accounting and payroll services, specializing in the ADP AdvancedMD® software suite as an AdvancedBiller Partner. With ClearSmart on your team, you’ll know that your financials are accurate and revenue cycle maximized, giving you the confidence to keep your practice moving forward.

Meet our team:

Rebecca Friesen – Principal, Owner

Rebecca is an Oregon State University alum where she earned a Bachelor’s degree in Business/Accounting with a minor in Economics. After enjoying many years in public accounting and tax, Rebecca launched ClearSmart in 1999. She enjoys watching her clients businesses grow while utilizing technology and her 26 years of accounting experience to help them succeed.

In addition to her accounting degree, Rebecca is also HIPAA Security Training Certified and an AdvancedMD Super User. She is an Oregon native and can’t imagine living anywhere else.


Before joining ClearSmart, Suzanne was trained on claims billing and processing while working for EDS as a Provider Representative on the Connecticut Medicaid Program. She now specializes in commercial insurance claims utilizing her extensive experience with insurance carrier contractual and legal obligations.

Suzanne has traveled a long path to the Northwest. She was born and raised in California and lived in Mississippi and Connecticut before moving to Oregon in 1996.


Beth holds a Bachelor’s Degree from the University of Vermont and a Master’s Degree in Public Health from OHSU. Beth supports ClearSmart clients with QuickBooks entries and reconciliations, making sure that key reports important to owners are always up to date and accurate. With years of medical billing experience, she’s also an expert at following up with insurers for prompt payment.

Beth grew up in Vermont and migrated west, landing in Portland in 1990. She particularly loves the natural beauty that Oregon, like her native Vermont, has to offer.


After Liz graduated from Portland State University with a Bachelor’s degree in Business Management, she worked for five years in retail and footwear futures at Nike. Liz now handles document processing for ClearSmart and is proficient at keeping us organized.

When her husband’s job with Nike sent them across the globe to live in Indonesia, Vietnam and Korea, Liz spent two years teaching English as a second language. Although born in Arizona, Liz returned home to Oregon in 2001.


With an Associate Degree in Health Information Management from Chemeketa Community College and her extensive hospitality and caregiving experience, Paloma is a perfect fit for processing insurance claims for ClearSmart. Her specialized education in insurance and reimbursement procedures gives us the advantage.

Originally born in San Diego, Paloma has lived in the Midwest and on the Oregon coast. Spanish is her first language and she enjoys spending time outdoors in the great Pacific Northwest.