Reebee Welch
Summary
Versatile and detail‑oriented License Pharmacy Technician with experience across prior authorization processing, specialty medication support, retail operations, medication adherence, and member/provider communication. Skilled in navigating multi‑system workflows, resolving coverage issues, researching clinical and benefit requirements, and supporting pharmacists in medication review and case preparation. Adept at handling high‑volume requests, verifying member and drug information, and delivering accurate, compliant documentation. Strong ability to adapt to diverse pharmacy environments — including specialty, PBM, retail, and remote clinical support — while maintaining productivity, accuracy, and exceptional service.
Overview
13
13
years of professional experience
Work History
Pharmacy Technician
Apex Systems-Centene(WellCare)
07.2026 - Current
- Determined initial prior authorization approvals and denials based on established plan criteria, clinical documentation, and prescription claim histories, facilitating pharmacist review.
- Analyze medication histories using prescription claims and clinical records to identify previously tried therapies and evaluate whether treatment requirements have been met.
- Review plan-specific formularies to identify covered medications and acceptable therapeutic alternatives for the requested drug.
- Clarified previous medication trials and obtained missing documentation from provider offices to support coverage approval.
- Evaluated duplicate requests across commercial/Exchange, Medicaid, and Medicare plans to distinguish repeat submissions from those with new information.
- Attach additional clinical information and route cases for further review, appeals, or redetermination according to plan procedures.
Prior Authorization Tech(Commercial Specialty)
Sgs Consulting-Contract-CVS
Gulfport, Ms
06.2026 - 07.2026
- Supported PA processing for high‑cost specialty therapies including oncology agents, hepatitis C treatments, immunomodulators, biologics, and injectables such as Botox
- Reviewed illegible, incomplete, or misrouted PA submissions; analyzed clinical and member data to ensure accurate routing and proper case assignment.
- Reviewed illegible, incomplete, or misrouted PA submissions; analyzed available clinical and member data to determine correct routing and ensure proper case assignment.
- Facilitated PA processing for high‑cost specialty therapies, ensuring timely access to oncology agents, hepatitis C treatments, immunomodulators, biologics, and injectables.
- Maintained accurate case notes and documented research and outreach steps, ensuring compliance with CVS Specialty workflow protocols.
- Reviewed submitted documentation, diagnosis codes, and therapy intent to determine whether a prior authorization was required under commercial specialty benefit guidelines.
- Maintained accurate case notes, documented all research and outreach steps, and followed CVS Specialty workflow protocols to support compliant PA processing
Prior Authorization Pharmacy Technician (Contract)
OptumRx
, Remote
08.2025 - 04.2026
- Process prior authorization requests received via electronic prior authorization (ePA), fax, and telephone while ensuring compliance with pharmacy benefit guidelines.
- Review and enter member, provider, and medication information into clinical systems to initiate authorization requests.
- Verify medication details, provider credentials, and member eligibility prior to submission.
- Managed high-volume inbound calls from providers, pharmacies, and members to address authorization status and coverage inquiries.
- Conducted outbound calls to provider offices to secure missing clinical information for authorization requests.
- Executed outbound member outreach regarding authorization approvals or denials, clarifying next steps in the process.
- Educate members on denial reasons and assist with appeals initiation when applicable.
- Maintain detailed documentation while ensuring HIPAA compliance and regulatory standards.
- Via Equity Staffing Group
Pharmacy Technician - Medication Adherence (Contract)
Rapid Talent
, Remote
09.2024 - 07.2025
- Conducted outbound calls to patients to enhance medication adherence and ensure timely prescription refills.
- Collaborated with healthcare providers and pharmacies to resolve medication-related concerns.
- Coordinated prescription refill request between patient, pharmacies and healthcare providers to ensure continuity of therapy.
- Documented patient interactions and maintained adherence tracking systems in compliance with HIPAA standards.
- Assisted patients with medication affordability by coordinating manufacturer assistance programs, facilitating coverage reviews, and identifying solutions to improve medication access.
- Supported patients with high-cost medications by submitting grievances and coordinating with assistance programs to minimize out-of-pocket expenses and enhance treatment adherence.
Licensed Pharmacy Technician
Coast Discount Drugs
10.2023 - 11.2024
- Processed third-party insurance claims and managed hospice medication charges, ensuring accurate billing and timely reimbursement.
- Maintained pharmacy inventory, labeled prescriptions, and assisted patients with medication questions to enhance medication safety and adherence.
- Maintained pharmacy inventory, labeled prescriptions, and assisted patients with medication questions.
- Processed third-party insurance claims and managed hospice medication charges.
- Checked patient profiles for drug interactions, allergies, and appropriateness of dosage to promote patient safety and optimal therapeutic outcomes.
- Verified accuracy of incoming orders from wholesalers against purchase invoices.
- Collaborated with healthcare professionals to enhance patient care initiatives effectively.
Licensed Pharmacy Technician
Southeastern Grocers
04.2023 - 10.2023
- Accurately processed written, faxed, and electronic prescriptions.
- Processed insurance claims, managed inventory stocking, and executed point-of-sale operations to ensure smooth pharmacy operations.
- Utilized pharmacy software to securely manage patient records and medication profiles, enhancing data accuracy and confidentiality.
- Organized shelves with pharmaceutical products to maintain inventory flow. with pharmaceutical products; rotated stock as needed to ensure freshness dates were monitored.
- Supported pharmacist in efficiently clearing high volume of prescriptions and addressing customer inquiries to improve service quality.
Collection Specialist II
Hancock Whitney Bank
07.2022 - 03.2023
- Contacted clients with delinquent accounts to establish payment plans, facilitating account recovery.
- Handled inbound and outbound calls to negotiate payment plans.
- Communicated with clients regarding payment arrangements and account status.
- Handled inbound and outbound calls to negotiate payment plans, enhancing client relationships and payment compliance.
- Performed skip tracing and collaborated with legal departments on bankruptcy cases.
- Researched customer disputes regarding billing errors or incorrect charges; resolved discrepancies with internal departments.
Collections Specialist
Keesler Federal Credit Union
09.2020 - 07.2022
- Collected on past due credit cards and loans, coordinated repossession processes, and managed auto sale bids to recover outstanding debts.
- Communicated with members to establish payment arrangements for overdue accounts, improving account recovery rates.
- Utilized collection software to track accounts and document interactions effectively.
- Completed skip traces on customers failing to respond to collection efforts.
- Maintained accurate records of repossession activities and client interactions.
- Coordinated with local tow companies for vehicle pickup services.
- Prepared and maintained repossession paperwork, including legal notices and court documents.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Repossession & Collections Specialist
Southeast Auto Financial Services
09.2018 - 09.2020
- Oversaw repossession activities, ensuring timely preparation of vehicles for auction.
- Communicated with clients to resolve payment discrepancies and issues.
- Conducted assessments to determine the status of repossessed assets.
- Assessed repossessed assets to evaluate recovery status and facilitate next steps.
- Coordinated with law enforcement for safe recovery of vehicles.
- Executed skip-tracing to locate missing or delinquent debtors, enhancing recovery efforts.
- Processed repairs and insurance claims.
Store Manager
Loan Master
06.2016 - 01.2018
- Oversaw loan approvals, managed collections, maintained reports, and led branch operations to ensure seamless daily functions.
- Managed loan applications and ensured compliance with regulatory standards.
- Reviewed loan applications, verified income sources, and evaluated collateral value.
- Coordinated with external vendors on loan processes, including appraisals, title searches, and insurance policies, to facilitate efficient transactions.
Customer Service Representative
Always Money
05.2015 - 06.2016
- Processed loans, collected overdue payments, and coordinated repossessions to maintain company asset integrity.
- Assisted customers with inquiries regarding financial products and services.
- Educated clients on loan terms and repayment options clearly.
- Loan Payment Processing — Handled daily payment transactions for payday loans, installment loans, and cash advances while ensuring accuracy, compliance, and proper account posting.
- Assisted customers with loan inquiries, payment arrangements, account updates, and service questions, delivering clear guidance on repayment options and policies to enhance customer understanding.
Pharmacy Technician
Rite Aid
04.2014 - 05.2015
- Prescription Intake & Workflow Support — Organized written, faxed, and electronic orders for daily prescription intake, ensuring accurate and timely processing of prescriptions.
- Patient Profile Maintenance — Updated and maintained patient medication profiles with accurate demographic, allergy, and therapy information for pharmacist review.
- Third‑Party Insurance Coordination — Verified coverage, corrected claim data, and communicated with payers to resolve insurance rejections and prevent delays in patient therapy.
- Third‑Party Insurance Coordination — Resolved insurance rejections by verifying coverage, correcting claim data, and communicating with payers to prevent delays in patient therapy
Education
Associate of Arts -
Mississippi Gulf Coast Community College
MSHigh School Diploma -
Long Beach High School
Skills
- Prior Authorization Processing
- Electronic Prior Authorizations
- Medication Coverage & Benefit Research
- Member & Provider Communication
- Clinical Documentation & Case Notes
- Formulary Management
- Pharmacy Operations Support
- Specialty Medication Familiarity
- Multi-System Workflow Navigation
- Regulatory & HIPAA Compliance
- Medication Adherence Support
Timeline
Pharmacy Technician
Apex Systems-Centene(WellCare)
07.2026 - Current
Prior Authorization Tech(Commercial Specialty)
Sgs Consulting-Contract-CVS
06.2026 - 07.2026
Prior Authorization Pharmacy Technician (Contract)
OptumRx
08.2025 - 04.2026
Pharmacy Technician - Medication Adherence (Contract)
Rapid Talent
09.2024 - 07.2025
Licensed Pharmacy Technician
Coast Discount Drugs
10.2023 - 11.2024
Licensed Pharmacy Technician
Southeastern Grocers
04.2023 - 10.2023
Collection Specialist II
Hancock Whitney Bank
07.2022 - 03.2023
Collections Specialist
Keesler Federal Credit Union
09.2020 - 07.2022
Repossession & Collections Specialist
Southeast Auto Financial Services
09.2018 - 09.2020
Store Manager
Loan Master
06.2016 - 01.2018
Customer Service Representative
Always Money
05.2015 - 06.2016
Pharmacy Technician
Rite Aid
04.2014 - 05.2015
Associate of Arts -
Mississippi Gulf Coast Community College
High School Diploma -
Long Beach High School