Kristen Bickett has over 15 years of experience in healthcare, currently working as a Clinical Audit Consultant at Humana. She manages a team and collaborates with senior leadership. Previously she worked as a Clinical Audit Analyst and Initial Claims Specialist at Humana, where she oversaw vendors, established new processes, trained others, and was recognized for her work. She has strong communication, leadership, and technical skills.

1. KRISTEN BICKETT
9211 SUE HELEN DRIVE, LOUISVILLE, KY 40299
812-225-1541 ▪ kbickett1@humana.com
Resume Summary
Clinical Audit Consultant with over 15 years experience in healthcare. Proven leadership ability,
strong written and oral communication skills, able to multi-task, and experience with vendor
relations both on and off shore. Focus on process improvement, training, and team building.
Experience
Clinical Audit Consultant ▪ 10.14 - Current
Humana, Inc. ▪ 12501 Lakefront Place, Louisville, KY 40299
 Manage a team of audit leaders.
 Collaborate with senior leadership to assist with the transition of Post Pay Clinical Audit
programs to a Prepay setting.
 Provide education, training, mentoring, process documentation and Visio flows to Humana
global about the processes and programs in my area.
 Responsible for set ups, inventory management and Prepay Pilot implementation.
 Streamlined processes to ease workload for analysts and specialists.
 Tasked with building a corrected claims team for both Pre and Post Pay audit programs.
 Manage vendor relationship with HGS.
 Provide accurate and timely reporting to senior leadership.
 Developed a tracking tool that has created a more comprehensive view all Prepay audit
programs.
 Facilitated strategic planning sessions.
Clinical Audit Analyst ▪ 3.12 – 10.14
Humana, Inc. ▪ 12501 Lakefront Place, Louisville, KY 40299
 Oversaw vendor activity within various clinical review audit programs.
 Established new clinical process concerning LifeSynch.
 Educated areas outside of Clinical on our processes and procedures to help prevent
erroneous overpayments and claim rework.
 Worked with vendors directly troubleshooting system issues, escalated market concerns,
and staffing forecasts.
 Submitted access requests, Mentor Feedback, analyzed reports for trends, was recognized
multiple Perfect Experience Initiatives, and STAR Award.
 Over 6 month time frame have company savings over $1.5 Million while processing claims
that have vendor savings identified.

2. Kristen bickett Page 2
Initial Claims Specialist ▪ 10.06 – 03.12
Humana, Inc. ▪123 Main Street, Louisville, KY 40202
 Responsible for the accurate processing of high dollar Medicare claims.
 Selected to be a Subject Matter Expert for incoming associates
 Worked high priority specialty projects, assessed quality control, disputed inaccurate audits,
and trained new and seasoned associates on specialty projects.
 Recognized for outstanding contribution to Humana’s success with STAR Award, monthly
High 5 Awards.
Technical Skills
 Microsoft Outlook, Word, Access, Excel, Power Point, CAS, Macess, CCP2, CCA, MRM, Financial
Recovery System, StereoLogic, Visio, Prepay Production Tool, MOAT
 Have strong research skills with fast follow up and accountability.
 Leader, dependable, reliable, interpersonal, futuristic, organized, professional