Leadership Development Strategy Employee Engagement & Retention

DRIVING GROWTH, REVENUE & QUALITY CARE EXCELLENCE

Results-driven executive leader with extensive experience in transforming revenue cycle operations and optimizing physician practices across healthcare organizations. Proven track record includes achieving double-digit revenue growth, increasing patient volume by 50%, and recovering multimillion-dollar denied payments through effective process implementation.

$4M
in recovery denial payments

About Rosemary

Industries

Core Skills

Case Studies

Challenge

Implementing AI to Streamline Operations & Reduce Burnout. A healthcare organization was struggling with operational inefficiencies and revenue cycle challenges, leading to high levels of staff and physician burnout. Administrative burdens were overwhelming the team, affecting both productivity and engagement.

Solution

To address these issues, we identified and partnered with an AI provider offering a scalable and cost-effective solution. Within eight weeks, we successfully implemented pre-registration and self check-in across all sites. Additionally, we automated the pre-authorization process, which launched in just four weeks.

Results

  • 48% reduction in pre-authorization denials.
  • 25% increase in operational efficiency.
  • Significant boost in staff productivity and engagement.

Challenge

Preventing $4M Loss Through Quality Governance Initiatives. A healthcare organization faced a $4 million financial risk after entering a Value-Based MCO agreement. To retain surplus funds, the organization needed to achieve a Quality Healthcare Star rating of 2 or above, but with a dangerously low rating of 1.4, immediate action was critical.

Solution

To reverse the trajectory, we:
  • Established a governance structure focused on quality improvement
  • Appointed a dedicated physician quality team
  • Implemented education and performance enhancement strategies for providers and clinical staff

Results

  • Quality Star Rating increased from 1.4 to 3.5 in just four months.
  • Secured $4 million in essential hospital funding.
  • Strengthened the organization’s reputation and operational stability

Challenge

Rapid Telehealth Implementation & Centralized Call Center. Amid the pandemic, ensuring continuity of care and maintaining patient engagement became critical. The organization needed a rapid solution to support virtual care while minimizing disruptions.

Solution

In just five days, we:
  • Launched a comprehensive telehealth program
  • Established a centralized call center to streamline patient communication
  • Partnered with IT and clinical teams for seamless integration

Results

  • nabled thousands of virtual visits, ensuring uninterrupted care.
  • Maintained strong patient engagement during a critical period.
  • Transformed healthcare delivery with innovative, scalable solutions.

Challenge

Recovering $4M in Denied Payments & Securing Additional Revenue. A healthcare organization faced a $4 million denial from a major managed care organization, jeopardizing financial stability. Resolving the issue required a strategic approach to claims reconciliation and negotiation.

Solution

To recover lost revenue, we:
  • Conducted a detailed audit of claims payments against contracted rates
  • Engaged directly with the CEO of the managed care organization
  • Negotiated a resolution to secure proper reimbursement

Results

  • Recovered $4 million in denied payments.
  • Secured $1.5 million in additional annual revenue.
  • Strengthened the organization’s financial stability and negotiation leverage.

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"Ms. Bonilla was instrumental in leading the department during the expansion of additional surgical suites and ensuring the quality improvement of the department. She led, organized, and implemented seamless processes and coached team members to ensure the surgical suites provided excellent patient care. Ms. Bonilla is a skilled and passionate employee; dedicated to the vision of the organization. She is mission driven and is enthusiastic about providing excellent patient care to the community that the organization serves."

Leticia Hernandez

"Rosemary kept our Ambulatory Services Department in order and grew the practices to levels never seen before in the hospital and outpatient offices. She not only has kept us on track, but exceeded targeted goals consistently, despite reimbursement declines, "EMR implementation and government oversight requirements. Rosemary was always available to consult on any issue that arose. Her team has excelled in both clinical and administrative areas thanks to her wisdom and knowledge."

Floyd Martin

"Rosemary has an exceptional ability to lead with both confidence and compassion. Her strategic thinking and clear communication create a sense of purpose and direction, empowering those around her to strive for excellence. She has a unique talent for recognizing potential in her team members and fostering an environment where growth and development thrive."

Denita Cook-Bennerman

"Rosemary is an executive extraordinaire, she truly cares about better patient care and can manage a large team and actually get things done!"

Mendel Erlenwein

Articles & Media

Books

Amazon.com : the point of return by rosemary bonilla

The Lost Book of Angel Raziel - Kindle edition by Bonilla, Rosemary. Religion & Spirituality Kindle eBooks @ Amazon.com.

Achievements

Board Certified through the American College of Medical Practice Executives

Meals On Wheels of Staten Island

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