If you have the cam you are just one piston away from a repair!
I don’t think it’s the cam bearings specifically, possibly a bad lifter but you would “usually” hear that when it’s running.
Might as well pull the cam and that one piston for a closer inspection. If the cylinder looks good and the crank/rod journals are decent I’d run it with a new/used piston and cam.
I have a stock pump from my 5.9 I picked up after trading you the 5.2. The motor was rebuilt and the pump is like new, it’s yours if you want it.