Treated effluent from a wastewater treatment plant can be further reused as a water resource for a water supply treatment plant. In this case, the treated sewage gathered in the study of the Class V National Water Quality Standard (NWQS) of Malaysia would be treated for use as a water resource for a water treatment plant. In a moving bed biofilm reactor (MBBR) with a 500-L working volume, organic pollutants, undesirable nutrients, and bacteria were removed without disinfectant. At 24-h hydraulic retention time (HRT), the maximum removal efficiency of 5-day biological oxygen demand, ammonia–nitrogen (NH3-N), and total phosphorus were 71%, 48%, and 12%, respectively. The biofilm thickness, which was captured using scanning electron microscopy, increased from 102.6 μm (24-h HRT) to 297.1 μm (2-h HRT). A metagenomic analysis using 16S rRNA showed an abundance of anaerobic bacteria, especially from the Proteobacteria phylum, which made up almost 53% of the total microbes. MBBR operated at 24-h HRT could improve effluent quality, as its characteristics fell into Class IIA of the NWQS of Malaysia, with the exception of the NH3-N content, which indicated that the effluent needed conventional treatment prior to being reused as potable water.