In July 2004, at the Northeast Jurisdictional Conference of The United Methodist Church held in Syracuse, New York, he was elected and consecrated a Bishop of the Church. Assigned to the Western Pennsylvania Annual Conference, headquartered at Pittsburgh, he relocated to serve his first quadrennium as a United Methodist Bishop. Bishop Bickerton and his family now live in Cranberry Township, Butler County, Pennsylvania. From 2005-2008, Bishop Bickerton also served as President of The United Methodist General Commission on Communication. He continues to serve as a member of the Commission's Executive Committee.
Bishop Bickerton is married to Sally Bickerton. They have four children: Elizabeth, T.J., Ian, and Nicholas.