Peer to Peer Specialist: Discover this New Non-Clinical PA/NP Job!

In this video, my guest Paola Gonzalez, a seasoned PA, discusses her unique role as a peer-to-peer specialist. Learn how this position helps prevent insurance denials and streamlines patient care by meeting insurance criteria. Paola shares insights on how PAs and NPs can create and transition into this non-clinical role within their institutions, benefiting both patient care and financial health. Paola also shares advice for all practicing clinicians on how to avoid insurance denials and to easily navigate the peer-to-peer process! You are not going to want to miss this interview!

(Sorry for the poor video quality. Zoom was having a bad day!)

Peer to Peer guidelines:

Evicore: https://www.evicore.com/provider/clin...

Carelon: https://guidelines.carelonmedicalbene...

NIA (Evolent): https://www1.radmd.com/resources/clin...

Recording Gear:
Camera: Sony ZV1 - https://amzn.to/3IFFFMd
Microphone: Rode Wireless GO II - https://amzn.to/3Pnvks5
Lights: Neewer 660 LED Video Light, 2 pk - https://amzn.to/49080aT

(These are Amazon affiliate links. If you use these links, I may earn a small commission that helps support this channel, so THANK YOU!)

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Learn about other Non-Clinical Roles for PAs/NPs:
   • Discover non-clinical roles for PAs &...  

Timestamps:
00:00 Intro
00:58 Meet Paola Gonzalez
02:14 Discovering the Peer to Peer Specialist Role
04:21 What is a Peer to Peer?
08:13 Duties of a Peer to Peer Specialist
12:46 Challenges From Physicians?
13:26 Tips & Documentation to Prevent Insurance Denials
16:18 Insurance Guidelines to Know
20:35 Keeping a Clinical Day
21:26 Is This Role Available Everywhere?
22:36 How to Create This Role in Your Organization
24:18 Leadership Opportunities From This Role

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Gift & Product Guides:    • Gift & Product Guides  

PA & NP Opportunities Around the World:    • Opportunities Around the World  

PANRE-LA:    • PANRE-LA  

Professional PA Topics:    • Professional PA Topics!  

Top APPs & Resources for PAs & NPs:    • Top apps & resources for medial provi...  

Interviews with PAs & NPs in various medical specialties:    • Explore Medical Specialties for PAs &...  

Welcome to my channel, The Medicine Couch, where I strive to help PAs & NPs craft a career they love by highlight all the possibilities open to us with our degrees. I do that by exploring all the medical specialties we can work in, finding cool & unusual jobs PAs & NPs can do, as well as discovering non-clinical roles for those ready to transition out of clinical practice! I also discuss professional topics and highlight resources that make your life better.

If these are topics that interest you, then subscribe and become part of the Medicine Couch family! If you have an idea for a video or have questions, please email me at [email protected]


Disclaimer: This video is not sponsored. Some of the links mentioned are affiliate links where I may receive a commission. If you use a link, it will never cost you more money, but it can help support this channel and allow me to continue to bring you excellent videos like this one. So, thank you!


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