Mareicshka Bosley

Results-driven Revenue Cycle and Healthcare Operations professional with 20+ years of experience spanning reimbursement, medical billing, claims management, accounts receivable, denial resolution, payment disputes, and operational support. Proven record managing complex, high-dollar claims and improving revenue recovery, including a 92% claim denial overturn rate. Skilled in payer negotiations, A/R aging reduction financial analysis, Power BI reporting, EDI transactions, process improvement, workflow automation, and cross-functional collaboration.

Recognized subject matter expert and employee leader with experience mentoring teams and partnering with executive leadership.

Dispatcher - LYNX EMS / NEW VISTA HEALTH - Blue Ash, OH

(2026-07)

Detail-oriented dispatcher managing logistics and vehicle dispatching operations.

• Skilled in route optimization, multi-line phone systems, multi-tasking and active listening, maintaining accuracy during fast-moving situations.
• Coordinate over 150 daily field routes emergency and non-emergency ambulance transportation, monitoring unit assignments and status to support timely, 97% yes rate.
• Serve as a key communication link among field units, hospitals, healthcare facilities, and customers while maintaining accurate dispatch records.

Fixed Route Operator - Metro

(2026-07)

CDL Training with Passenger Endorsement — In Progress — Metro, July 2026

• Obtained Commercial Learners Permit to hold Commercial Drivers License with passenger endorsement through Metro’s 10-12 week paid training program. Trained to safely operate passenger coaches over 26 local routes, 19 express routes, and connection reverse-commute routes following traffic laws. Providing excellent customer service and communicate with Metro Radio Control Center.

Reimbursement Specialist III - MYRIAD GENETICS - Cincinnati, OH

(2016-04 - 2025-11)

• Managed complex, high-dollar molecular diagnostic claims through the full reimbursement lifecycle, including billing, payment research, denials, appeals, collections, and account resolution.
• Achieved a 92% claim denial overturn rate, exceeding performance benchmarks and accelerating revenue recovery.
• Served as a Revenue Cycle Subject Matter Expert (SME) for Workers’ Compensation, Auto/MVA claims, refund request appeals, complex reimbursement issues, and account research.
• Analyzed A/R trends, payment variances, and recovery opportunities using Power BI and financial reporting, supporting improved cash flow and reduced outstanding balances.
• Negotiated complex reimbursement matters with TPAs, IPAs, and payer-affiliated entities using Letters of Agreement (LOAs) and Single Case Agreements (SCAs) to secure payment for denied or underpaid services.
• Researched reimbursement discrepancies and performed root cause analysis to improve data integrity, resolution times, and payment outcomes.
• Supported EDI transactions (837, 835, 270, 271) and workflow automation/RPA initiatives that reduced manual processes and improved operational efficiency.
• Mentored team members on complex claims, account research, reimbursement strategies, and denial resolution.
• Elected Chair, Revenue Cycle Engagement Committee (2020–2022); represented employees across a multi-site Revenue Cycle organization and partnered with executive leadership on engagement, communication, training, remote-work effectiveness, and operational improvement.
• Analyzed employee survey results and presented actionable recommendations to senior leadership.

Revenue Cycle / Accounts Receivable Specialist, Contract - AEROTEK / BIORX & ROBERT HALF / RUMPKE - Cincinnati, OH

(2015-12 - 2016-04)

• Managed billing, collections, account research, and follow-up for home infusion and business-to-business A/R accounts.
• Resolved billing and payment discrepancies while proactively addressing aging balances to support cash flow.
• Supported new business-line implementation through credit analysis, account setup, workflow alignment, and operational coordination.

Reimbursement Coordinator - WALGREENS INFUSION / OPTION CARE - Cincinnati, OH

(2013-08 - 2015-12)

• Coordinated complex infusion reimbursement and claims processing across payer requirements and billing workflows.
• Developed payer-specific reimbursement strategies and researched claim/payment discrepancies to improve reimbursement outcomes.
• Produced A/R and revenue performance reporting and collaborated with payers and internal teams to resolve escalated issues.

Merchant Services Dispute Representative IV - VANTIV / FIFTH THIRD BANK - Cincinnati, OH

(2009-09 - 2013-08)

• Managed high-volume merchant chargebacks and payment disputes while ensuring compliance with regulatory, contractual, and company requirements.
• Researched transaction documentation to determine appropriate dispute outcomes and protect merchant revenue.
• Led User Acceptance Testing (UAT) initiatives supporting system implementations and transaction accuracy.
• Served as SME and provided training and operational support to offshore teams.

Patient Account Representative - MEDICAL RECOVERY SYSTEMS / CINCINNATI CHILDREN’S HOSPITAL - Cincinnati, OH

(2008-07 - 2009-09)

• Resolved complex healthcare claims, appeals, account discrepancies, and reimbursement issues while conducting detailed A/R research and follow-up.
• Collaborated with payers and internal stakeholders to resolve billing issues and improve timely reimbursement.

Revenue Cycle & Pharmacy Billing - SKILLED CARE PHARMACY / OMNICARE

(2000 - 2008)

• Managed long-term care and pharmacy billing, collections, A/R, and revenue reporting.
• Researched high-dollar accounts and improved billing workflows and account resolution.
• Supported billing-system integrations, acquisition transitions, and standardized revenue cycle processes.

STNA/Float Pool CNA/PCA - Western Hills Retirement Village / American Nursing Care Christ Hospital / UC Medical Center / Select Specialty Care at Good Samaritan Hospital

(1996 - 2002)

Shift Manager - Brendamours Sporting Goods

(1993 - 1995)

• Operations, Open & Close procedures: disarming alarms, preparing registers/floats, powering equipment/ securing premises, balancing cash drawers, cash-handling compliance, running end-of-shift reports, Team Leadership: Cover unexpected call-offs or reallocate labor based on store traffic, Delegate tasks (inventory, restocking) and direct floor coverage, Provide on-the-spot coaching, feedback, and shift huddles. Customer Service: Resolve escalated customer complaints, returns, or policy disputes.

Crew Member, Team Lead, Assistant Manager - Cinnabon Bakery

(1991 - 1993)

Associate of Science - Business – Health Care Administration - Brown Mackie College

Medical Billing Certificate - Letco Technologies

LPN Coursework - Northern Kentucky Health Technology Center

Certified Nursing Assistant / STNA - Mercy Franciscan Terrace