Kathleen Johnson

Seasoned healthcare administrator with 30 years of experience in large provider practices and patient care operations. Expertise in high-volume scheduling, provider support, insurance verification, and patient communications. Skilled in ModMed Gastroenterology, CoverMyMeds, Epic, and Cerner. Positioned to contribute effectively in remote healthcare support and administrative roles.

Medical Service Coordinator | Provider Support & Prior Authorization Specialist at LifeStance Health / Behavioral Health LLC (2026-04 – Present)

• Managed provider schedules, appointment changes, cancellations, and rescheduling requests, ensuring seamless patient communication and adherence to productivity standards.
• Complete and submit insurance-specific prior authorization forms and supporting clinical documentation for commercial, Medicare, and Medicaid plans.
• Process medication prior authorizations using CoverMyMeds and payer-specific authorization systems.
• Communicate directly with insurance carriers regarding authorization requirements, coverage determinations, denials, appeals, and medication approvals.
• Obtained, reviewed, and documented patient medication histories and clinical information to support effective treatment planning and authorization requests.
• Liaised between patients, providers, pharmacies, and insurance companies to facilitate medication access and ensure continuity of care.
• Coordinate high-volume scheduling and appointment management for a large behavioral health provider network serving multiple clinicians and specialties.

Senior Medical Scheduler & Administrative Coordinator at Charleston Gastroenterology Specialists (2011-01 – 2025-01)

• Coordinated high-volume scheduling for a large multi-provider gastroenterology practice, including office visits, procedures, diagnostics, referrals, and follow-up care.
• Managed complex provider schedules across multiple physicians and advanced practice providers in a fast-paced specialty environment.
• Verified insurance coverage and obtained authorizations to support patient care and billing requirements.
• Communicated appointment instructions, procedure preparation requirements, and follow-up information to patients.
• Trained new employees on scheduling workflows, customer service expectations, and practice procedures.
• Worked collaboratively with physicians, nursing staff, and administrative teams to ensure efficient patient flow and continuity of care.
• Maintained strict HIPAA compliance and confidentiality standards.

Medical Scheduler at Charleston Breast & Cancer Center (2009-02 – 2010-12)

• Scheduled consultations, diagnostic testing, procedures, and follow-up appointments.
• Verified physician orders and patient documentation prior to appointments.
• Performed insurance verification and authorization functions.
• Assisted patients with scheduling questions and appointment coordination.
• Maintained accurate patient records and documentation.

Front Desk Receptionist at Rosen Dermatology (2003-03 – 2009-01)

• Managed patient check-in, check-out, appointment scheduling, and registration activities.
• Answered high-volume telephone calls and directed patient inquiries appropriately.
• Verified demographic and insurance information.
• Maintained patient records and supported daily administrative operations.
• Delivered professional customer service in a busy medical office environment.

New Patient Coordinator at Carolina Spine Institute / Southeastern Spine Institute (1996-09 – 2003-03)

• Coordinated scheduling and intake activities for all new patient appointments.
• Obtained and organized medical records for physician review.
• Communicated with physicians, insurance carriers, attorneys, and workers' compensation representatives.
• Assisted with clinical research initiatives and administrative projects.
• Promoted from Receptionist to New Patient Coordinator based on performance and leadership abilities.

Medical Assistant at NAVCARE Clinic / Naval Hospital Charleston (1995-05 – 1996-09)

• Assisted healthcare providers in conducting patient examinations and procedures to ensure accurate diagnoses.
• Assisted healthcare providers with patient examinations and procedures.
• Collected specimens and performed routine testing to facilitate timely patient care.
• Maintained clinical documentation and patient records to support effective patient management and compliance.
• Supported both clinical and front-office operations.

Diploma in Medical Assisting – Trident Technical College (1991-08)

High School Diploma – Summerville High School (1988-06)