James Barbuat

Experience

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  Columbia/HCA Healthcare Corporation

  Jan 1983 - Jan 1995

  Managed business office, accounting, payroll, accounts payable for a 142 bed acute care medical center, with indirect responsibility for business office, patient accounting, medical records materials management and MIS. Developed new policies & procedures for internal controls.Formulated preliminary and final budgets.Trained business office personnel in billing & collection efforts. Managed & supervised business office, accounting, data processing, AP and payroll operations for a 238 bed acute care medical center. Managed revenue centers, including patient and family temporary housing.Note: Alaska Regional Hospital was originaly a Galen Healthcare Hospital. Galen merged with Columbia & HCA Healthcare. Managed financial operations for a 100 bed acute care medical center. Prepared budgets. Supervised medical records, material management, PBX, data processing, business office, AP and AR.Part of the Internal Audit team - audited other facilties for internal controls.Note: Brazos Valley Medical Center was originaly a Humana Hospital which became Galen Healthcare & then merged with Columbia/HCA Healthcare Successfully completed 14 months controller training program (Internship) at 110 bed acute care medical center. Coordinated, directed and supervised priority and routine quality care on the weekends and night shifts.

  • Controller

    Jan 1994 - Jan 1995

  • Controller

    Jan 1992 - Jan 1994

  • Controller

    Jan 1989 - Jan 1992

  • Financial Specialist

    Jan 1988 - Jan 1989

  • Senior Medical Technologist - Laboratory

    Jan 1983 - Jan 1988
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  Crest View Hospital - Sterling Healthcare Corporation

  Jan 1995 - Jan 1996

  Chief Financial Officer

  Managed business office, accounting, payroll, accounts payable and MIS for a 70 bed free standing Psychiatric and Chemical Dependency Hospital and Counseling Center with indirect accountability for the entire hospital being the second in charge when CEO is off premises. Formulated preliminary and final budgets.Handled financing for multiple facilities.

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  Delaware Valley MHF

  Jan 1996 - Jan 1998

  Chief Financial Officer & Treasurer

  Managed all financial operations, business office, accounting, payroll, accounts payable, Medical Records, Plant Operations and MIS for a 70 bed free standing Psychiatric Hospital.Established effective and successful turn-around of financial operations and accomplished a $1M turnaround in 9 months.Developed new contracts with Managed Care Companies.Impleted a successful implementation and conversion to time clocks and ADP payroll system. The process resulted in a payroll expenses reduction of approximately $375K the first year.Negotiated and secured a $1.5M bank loan along with $500K line of credit with local bank.Completed staff training which improved collection efforts by 2 folds and decreased A/R days from 95 to 45.Formulated, acquired and completed financing for the reconstruction of new Administration Building at a cost of $1.2M. Show less

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  Lakewood Medical Center

  Jan 1998 - Jan 2000

  Chief Financial Officer

  Directed all financial operations, business office, accounting, payroll, accounts payable, Medical Records, of a 168 Acute Care Community Hospital. Restructured General Ledger and formulated a budget process. Performed project-based, departmental solutions to reduce expenses and / or increase revenue. Created facility wide systems to improve controls and improve revenue capturing. Established systems and new policies and procedures facility wide.Developed processes & trained staff in the Business Office and Accounting, which resulted in a decrease of 30% in A/R days and a decrease of 60% in A/P days.Completed and finalized renegotiation of several new contracts with various Managed Care Companies.Completed a $2.5M construction of a new Emergency Room department. Show less

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  Opelousas General Health System

  Jan 2000 - Jan 2007

  Chief Financial Officer

  Directed all financial operations, business office, accounting, payroll, accounts payable, Medical Records, of a 193 Acute Care Community Hospital, Case Management, Utilization Review, Midwifery Department, Hyperbaric department and Gift Shop. Restructured General Ledger and formulated a budget process. Performed project-based, departmental solutions to reduce expenses and / or increase revenueResponsible for all contract negotiations, Managed Care Companies, Physician guarantees and vendors.Established systems and new policies and procedures facility wide, which included a denial process for poor billing. New processes improved collection efforts by $12M a year and decreased A/R days from 75 to 46 days. Received Quorum most improved A/R in 2001 – South Central Division.Planned, completed and finalized an $80M facility wide construction program, including a $22.5M bond issue. This included MOB, cath labs, surgery and procedure suites along with additional ICU beds.Added new services in the form of an LTAC and Rehabilitation Unit, which added bottom line dollars. Responsible for opening Rehab Unit and increasing per diem Medicaid reimbursement rate by $250. LTAC contributed an additional $1.7M in net revenue.Successfully completed several joint ventures between physicians, hospital and third party such as (1) Diagnostic Imaging Center, (2) Cardiovascular Institute of the South (CIS) on a CT Angiography, (3) an 8 beds Sleep Study Laboratory, (4) a Hyperbaric and wound care treatment unit, (5) a Nursing Home, Psychiatric agency. Show less

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  Northeastern Nevada Regional Hospital

  Jan 2007 - Jan 2009

  Chief Financial Officer

  Managed all financial operations, business office, accounting, payroll, accounts payable, Medical Records, Dietary, Maintenance, Housekeeping, Laundry of a 75 Acute Care Hospital. Restructured General Ledger and formulated a budget process. Performed project-based, departmental solutions to reduce expenses and / or increase revenue.Work closely with Corporate Office in the renegotiated new contracts with various Managed Care Companies. Responsible for month-end closing, internal and external audits.Developed team and streamlined billing and collections which resulted in increase of 50% in collection efforts and decreased A/R days to 53 days. Processes also decreased outstanding billing by 30%.Received Lifepoint Healthcare “Best Overall Audit Results” SOX audits – 2007.Received a 100% score for Received a 100% score for SOX and E&Y audits – 2008.and 2009.. Show less

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  Heart Hospital of Lafayette

  Jan 2009 - Jan 2011

  Chief Financial Officer

  Led all financial operations, business office, accounting, payroll, accounts payable, medical records, of a 32 beds Cardiac Surgical Specialty Acute Care Hospital. Facility is associated with Our Lady of Lourdes (OLOL) which is part of the Franciscan Order of Our Lady of Lourdes (FMOL)Restructured General Ledger, formulated a budget process. Decreased A/R days to 40.Completed departmental training which resulted in 10% expense reduction and 5% revenue increase.Brought other facilities and HHL together and brought processes in a more team spirit atmosphere. Worked closely with OLOL to develop a closer work relationship between facilities in the organization.Developed a sense of camaraderie with OLOL and Corporate Office (FMOL) in the renegotiation of new contracts with various Managed Care Companies.Completed training with various departments to improve customer relations with internal and external customers. This improved patient, employee and medical staff surveys.Increased disbursement to physician investors and OLOL to over $6M in a 18 months period. Show less

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  Artesia General Hospital

  Jan 2011 - Jan 2012

  Interim CFO
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  Community Hospital Corporation

  Dec 2011 - Jan 2012

  Chief Financial Officer
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  Gunnison Valley Health

  Mar 2013 - now

  Chief Financial Officer