Markos Lujan
Albuquerque,NM
Summary
Results-driven professional with a background in healthcare operations and a strong interest in data analytics, process improvement, and system optimization. Experienced in working within structured healthcare environments, coordinating across teams, and supporting efficient workflow execution. Skilled in analyzing trends, identifying inefficiencies, and contributing to data-informed decision-making to improve patient outcomes and operational performance. Adept at learning new systems quickly, with a growing proficiency in data tools and a commitment to leveraging analytics to drive measurable improvements in healthcare delivery.
Overview
4
4
years of professional experience
Work History
Patient Access Supervisor - Emergency Department
Presbyterian Hospital
Albuquerque, USA
01.2025 - Current
- Oversaw patient registration, insurance verification, and documentation to ensure compliant claim submission.
- Ensured compliance with CMS, EMTALA, HIPAA, and internal regulations to maintain operational integrity.
- Acted as an escalation resource for payer-related issues.
- Collaborate with Revenue Cycle teams to support clean claim rates.
- Serve as escalation resource for payer-related issues.
- Maintain detailed performance and accuracy standards.
Lead Financial Counselor
Conifer Revenue Cycle
El Paso, USA
01.2023 - 01.2025
- Resolved payer denials and coverage issues to enhance patient eligibility and care continuity.
- Coordinated Medicaid and financial assistance applications to support patients in obtaining financial resources.
- Conducted insurance verification, benefits analysis, and pre-authorization to ensure patient access to necessary services.
- Communicated effectively with patients, payers, and employers to address concerns and facilitate processes.
- Maintained current knowledge of payer and regulatory updates.
Intern
Legent Hospital
04.2022 - 06.2022
- Engaged in leadership meetings and analyzed payer documentation workflows.
- Collaborated with billing and admissions teams to optimize daily operations.
- Supported operational reviews, analyzed financial data, and contributed to improvement initiatives.
Education
Master of Science - Health Administration
Grand Canyon University
Phoenix, AZPhoenix, AZ
Bachelor of Science - Kinesiology
University of Texas at El Paso
El Paso, TXEl Paso, TX
Skills
- Revenue cycle management
- Electronic medical records (EMR)
- CMS and HIPAA compliance
- Clinical knowledge
- Excellent Critical thinking
- Analytical problem solving
- Team collaboration
- Customer and patient communication
- Operational strategy
- Attention to detail
- Quality improvement initiatives
- Team leadership
- Auditing and monitoring
- Strategic planning
- Adaptability and flexibility
- Analytical thinking
- Personnel management
- Patient access management
- effective communication
- Gap analysis
- Claim management
Core Competencies
CMS, HIPAA, EMTALA, Payer Contract Adherence, Confidentiality & Documentation Accuracy, High-Volume Work Queue Management, Analytical Problem-Solving, Strong Written & Verbal Communication, Microsoft Office Suite Proficiency, Detail Orientation & Organizational Efficiency, Team Collaboration & Professional Ethics, Adaptability in Fast-Paced Environments, Customer/Patient Communication Excellence
Timeline
Patient Access Supervisor - Emergency Department
Presbyterian Hospital
01.2025 - Current
Lead Financial Counselor
Conifer Revenue Cycle
01.2023 - 01.2025
Intern
Legent Hospital
04.2022 - 06.2022
Master of Science - Health Administration
Grand Canyon University
Bachelor of Science - Kinesiology
University of Texas at El Paso