What Texas home care agencies are paying schedulers, billers, intake coordinators, credentialing specialists, and EVV coordinators in Houston, Dallas, Austin, San Antonio, and Fort Worth — with metro cost-of-living adjustments and the bilingual premium for each role.
By Atlas Care Team·Updated September 29, 2026
Talk to UsTexas home care agencies in Houston, Dallas, and Austin are hiring for the same five core back-office roles — scheduler, intake coordinator, biller, credentialing specialist, EVV coordinator — but paying very different salaries depending on the metro. The gap between the lowest-cost Texas market (San Antonio, non-bilingual) and the highest (Austin, experienced roles) can reach $15,000–$20,000 per year for a single position.
For an agency building a 3–5 person back-office team, that gap compounds to $45,000–$100,000 per year in total labor cost difference — enough to meaningfully change the make-versus-buy calculus when comparing in-house hiring to managed remote staffing.
This guide compiles salary benchmarks for Texas home care administrative roles by major metro, drawn from Texas job posting data, Bureau of Labor Statistics Occupational Employment and Wage Statistics for Texas MSAs, and home care industry salary surveys. Ranges reflect base salary for experienced (2+ year) candidates; total cost of employment runs 35–45% above base once payroll taxes, health insurance, PTO, and annualized recruiting cost are included.
The scheduler is typically the first full-time hire for a growing Texas home care agency. The role covers client-caregiver matching, shift coverage management, caregiver callout handling, and on-call coordination for after-hours coverage gaps.
Texas Base Salary Ranges — Scheduler:
| Metro | Base Salary Range | Median | Bilingual Premium | Total Employer Cost |
|---|---|---|---|---|
| Austin | $41,000–$55,000 | $46,000 | +$4,000–$8,000 | $56,000–$75,000 |
| Houston | $38,000–$52,000 | $44,000 | +$4,000–$8,000 | $52,000–$71,000 |
| Dallas-Fort Worth | $37,000–$50,000 | $42,000 | +$3,000–$6,000 | $50,000–$69,000 |
| Fort Worth | $36,000–$49,000 | $41,000 | +$3,000–$5,000 | $48,000–$67,000 |
| San Antonio | $33,000–$46,000 | $38,000 | +$4,000–$7,000 | $45,000–$63,000 |
What drives variation: Austin schedulers command a premium because office and administrative support workers across all Austin industries earn above-average wages due to tech-sector competition. Houston schedulers sit above Dallas due to the larger Harris County labor market and the bilingual demand in HHSC Service Area 6 (Gulf Coast). San Antonio agencies benefit from lower base wages but typically cannot avoid the bilingual premium in the Bexar County market.
Turnover note: Home care scheduling is a high-stress role with one of the industry's highest turnover rates — 50–70% annually at many agencies. Annualized recruiting and training cost adds $3,000–$6,000 per year to the total cost of employment figure above.
The intake coordinator handles new client referrals, intake documentation, service plan setup, and coordination with the referring MCO or case manager. In STAR+PLUS agencies, this role also manages prior authorization requests and renewal tracking.
Texas Base Salary Ranges — Intake Coordinator:
| Metro | Base Salary Range | Median | Bilingual Premium | Total Employer Cost |
|---|---|---|---|---|
| Austin | $39,000–$53,000 | $45,000 | +$4,000–$7,000 | $53,000–$73,000 |
| Houston | $37,000–$51,000 | $43,000 | +$4,000–$8,000 | $50,000–$70,000 |
| Dallas-Fort Worth | $36,000–$50,000 | $41,000 | +$3,000–$6,000 | $48,000–$68,000 |
| Fort Worth | $35,000–$48,000 | $40,000 | +$2,000–$5,000 | $47,000–$66,000 |
| San Antonio | $33,000–$47,000 | $38,000 | +$4,000–$8,000 | $45,000–$65,000 |
STAR+PLUS complexity factor: Intake coordinators at Texas STAR+PLUS agencies carry additional responsibilities that general home care intake roles in other states do not: prior authorization submission through each MCO's portal, coordinating with HHSC STAR+PLUS case managers, and tracking the MCO-specific intake documentation requirements that differ between Superior, Molina, Aetna BH, and UHC. Agencies that underestimate this complexity often underhire (offering a general medical receptionist wage) and then experience high turnover when the prior-auth workload becomes clear.
The biller submits claims, works denials, tracks accounts receivable, and manages the revenue cycle from EVV visit data through payment posting. For Texas STAR+PLUS agencies, this requires fluency with both TMHP (for fee-for-service Medicaid) and each MCO's billing portal.
Texas Base Salary Ranges — Biller/Revenue Cycle:
| Metro | Base Salary Range | Median | Bilingual Premium | Total Employer Cost |
|---|---|---|---|---|
| Austin | $45,000–$62,000 | $52,000 | +$2,000–$5,000 | $61,000–$85,000 |
| Houston | $43,000–$60,000 | $50,000 | +$2,000–$4,000 | $58,000–$82,000 |
| Dallas-Fort Worth | $42,000–$58,000 | $48,000 | +$2,000–$4,000 | $57,000–$80,000 |
| Fort Worth | $41,000–$56,000 | $47,000 | +$2,000–$4,000 | $56,000–$77,000 |
| San Antonio | $37,000–$52,000 | $43,000 | +$1,000–$3,000 | $50,000–$71,000 |
Why billing commands a premium: Experienced home care billers who know TMHP claims processing, managed care claim adjudication, and Medicaid denial resolution are scarce across all Texas markets. An inexperienced biller who misroutes claims — submitting STAR+PLUS claims to TMHP instead of the MCO portal, or submitting without correct EVV data attached — creates AR backlogs that take weeks to unwind. Agencies consistently report that billing expertise is the back-office hire where the cost of a wrong hire is highest in dollar terms.
The credentialing specialist manages MCO provider enrollment, CAQH ProView maintenance, re-credentialing cycles, and HHSC license renewal documentation. For a multi-MCO STAR+PLUS agency, this role tracks 4–6 separate credentialing timelines simultaneously.
Texas Base Salary Ranges — Credentialing Specialist:
| Metro | Base Salary Range | Median | Bilingual Premium | Total Employer Cost |
|---|---|---|---|---|
| Austin | $46,000–$64,000 | $54,000 | +$1,000–$3,000 | $62,000–$88,000 |
| Houston | $44,000–$62,000 | $51,000 | +$1,000–$3,000 | $59,000–$85,000 |
| Dallas-Fort Worth | $43,000–$60,000 | $50,000 | +$1,000–$3,000 | $58,000–$82,000 |
| Fort Worth | $42,000–$58,000 | $49,000 | +$1,000–$3,000 | $57,000–$80,000 |
| San Antonio | $38,000–$54,000 | $44,000 | +$1,000–$2,000 | $51,000–$74,000 |
Bilingual note for credentialing: Bilingual premium is lower for credentialing than for front-facing roles (scheduling, intake) because most credentialing work involves English-language portal submissions and documentation. However, agencies that use bilingual credentialing staff to communicate directly with MCO provider relations departments in Spanish report faster resolution of credentialing issues — particularly in Houston and San Antonio where MCO provider reps are themselves often Spanish-speaking.
The EVV coordinator manages daily Electronic Visit Verification exception resolution — identifying unmatched, incomplete, or late visit records in the EVV system (Sandata or HHAeXchange depending on the MCO) and correcting them before claim submission.
Texas Base Salary Ranges — EVV Coordinator:
| Metro | Base Salary Range | Median | Bilingual Premium | Total Employer Cost |
|---|---|---|---|---|
| Austin | $38,000–$52,000 | $44,000 | +$3,000–$6,000 | $51,000–$71,000 |
| Houston | $36,000–$50,000 | $42,000 | +$3,000–$6,000 | $48,000–$68,000 |
| Dallas-Fort Worth | $35,000–$48,000 | $41,000 | +$3,000–$5,000 | $47,000–$66,000 |
| Fort Worth | $34,000–$47,000 | $40,000 | +$2,000–$5,000 | $46,000–$64,000 |
| San Antonio | $32,000–$46,000 | $38,000 | +$3,000–$6,000 | $43,000–$63,000 |
Scale note: Small agencies (under 40 active clients) typically combine the EVV coordinator function with the scheduler or biller rather than hiring a dedicated role. At 40–80 active clients, daily EVV exception volume typically justifies a part-time dedicated EVV role. Above 80 clients, a full-time EVV coordinator is usually the lower-cost option versus the billing delays and denied claims that come from handling exceptions reactively.
Most Texas home care agencies between 50–100 active clients run a 3-role core team: scheduler, biller, and an intake/credentialing hybrid. Here is what that team costs in total employer expense across two representative Texas metros:
Houston (3-role core team, non-bilingual):
San Antonio (3-role core team, non-bilingual):
Houston (3-role core team, bilingual — all three roles):
The San Antonio non-bilingual scenario shows the floor: $143,000 per year in total employer cost before Texas workers' compensation insurance and any benefits beyond basic health coverage. The Houston bilingual scenario shows the ceiling at that team size: approaching $250,000 per year.
At the benchmarks above, a 3-role back-office team costs $143,000–$253,000 per year in total employer expense depending on metro and bilingual requirements. That is the in-house baseline.
The alternative — managed remote specialists with Texas home care training — typically costs $28,000–$48,000 per role per year fully managed (no benefits, no payroll taxes, no recruiting cost, no turnover replacement). A 3-role remote team runs $84,000–$144,000 per year, saving Houston agencies $60,000–$109,000 annually compared to local in-house hiring.
The question every Texas STAR+PLUS agency in the 30–120 client range should answer: at your metro's wage rates, when does local hiring outperform remote staffing? The answer depends on census trajectory, MCO complexity, bilingual requirements, and whether the agency's volume justifies the management overhead of a local team.
Wages in Texas home care administration move on a 12–18 month lag behind the broader labor market. The figures in this guide reflect 2026 market conditions and are designed to be updated annually. As a working benchmark:
For the underlying role-level statewide benchmarks that underpin these metro figures, see the Texas Home Care Back-Office Staffing Cost Benchmarks guide, which covers total compensation structure by role in detail.
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Talk to Us →Salary benchmarks and total cost-of-employment data for five core home care administrative roles in Texas — scheduler, intake, biller, credentialing specialist, and EVV coordinator — including the Texas-specific factors that push real costs 30–40% above base salary.
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Read moreWhat Texas HCSSA-licensed home care agencies actually spend each year — licensing fees, insurance, EVV and EHR technology, back-office staffing, MCO credentialing overhead, and compliance costs — with ranges by agency size.
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Read moreHow to get credentialed with Texas STAR+PLUS managed care organizations — CAQH setup, individual MCO applications, required documents, timeline benchmarks, and the delays that push agencies back 90 days.
Read moreHome care schedulers in Houston typically earn $38,000–$52,000 per year in base salary, with a metro median near $44,000. In Dallas-Fort Worth, the range is $37,000–$50,000, with a median near $42,000. Houston's slightly higher ceiling reflects the larger Harris County bilingual talent pool and higher cost of living — agencies competing to hire Spanish-English bilingual schedulers in Houston regularly offer salaries at the top of that range or beyond. When you add the full employer cost multiplier (payroll taxes, health insurance, PTO, annualized turnover recruiting cost), total cost of employment for a Houston scheduler runs $52,000–$71,000 per year. In Dallas, the equivalent range is $50,000–$69,000.
Yes, in several roles Austin has surpassed Houston. Home care billers and credentialing specialists in Austin earn $1,000–$4,000 more per year in base salary than their Houston counterparts, because Austin office workers across all industries command a premium due to competition from the technology sector. A home care biller in Austin earns $45,000–$62,000 base, compared to $43,000–$60,000 in Houston. The gap is widest at the senior end: experienced credentialing specialists who know CAQH, MCO portals, and STAR+PLUS workflows are in short supply in Austin, and agencies with $50,000+ budgets for that role still see long time-to-fill. The VA alternative tends to close this gap — a home care-trained remote credentialing specialist costs $28,000–$38,000 per year fully managed.
Spanish-English bilingual capability adds $3,000–$8,000 per year to any home care administrative role in Texas, and the premium is highest in Houston and San Antonio. A bilingual home care scheduler in Houston earns $46,000–$54,000, compared to the non-bilingual range of $38,000–$48,000. In San Antonio — where a majority of STAR+PLUS clients and caregivers speak Spanish as a primary language — bilingual intake coordinators and schedulers regularly command the same premium, with total compensation packages that nearly match Dallas non-bilingual rates. Fort Worth agencies hiring bilingual staff for Tarrant County's growing Spanish-speaking population also report a $2,000–$5,000 premium. The bilingual premium is not a market anomaly; it reflects the genuine operational cost difference between a bilingual admin who can communicate directly with a caregiver or client and one who cannot.
Home care credentialing specialists in Texas earn more than most other back-office roles because the skill set is scarce and the errors are expensive. Statewide base salary range: $44,000–$64,000. By metro: Houston $44,000–$62,000, Austin $46,000–$64,000, Dallas-Fort Worth $43,000–$60,000, San Antonio $38,000–$54,000, Fort Worth $42,000–$58,000. The role requires fluency with CAQH ProView, each MCO's credentialing portal (Superior, Molina, Aetna BH, UHC), re-credentialing timelines, and HHSC HCSSA license renewal documentation. A credentialing error — a missed re-attestation or an expired document in a personnel file — can result in a MCO contract suspension while the agency scrambles to correct it. Agencies increasingly use remote credentialing specialists who serve Texas home care agencies exclusively, at a lower total cost than a local hire and with Texas-specific training already in place.
San Antonio is consistently the most affordable major Texas metro for home care back-office hiring. Base salaries across all five back-office roles run $4,000–$8,000 per year below Houston and $3,000–$6,000 below Dallas-Fort Worth. A San Antonio home care biller earns $37,000–$52,000, compared to $43,000–$60,000 in Houston. However, San Antonio agencies face a tight bilingual labor market: because most STAR+PLUS clients in Bexar County are Spanish-speaking, bilingual requirements effectively narrow the candidate pool and push base salaries closer to Dallas levels for those specific hires. The net result is that total back-office labor costs in San Antonio are 10–18% lower than in Houston or Austin for non-bilingual roles, but the gap narrows significantly once bilingual requirements are applied.