Most patients diagnosed with End Stage Renal Disease (ESRD) undergo hemodialysis. Traditional hemodialysis treatment requires patients spending three to five hours every other day while yielding the high waste level accumulated between treatments. These limitations in the current technology have spurred the development of a portable renal replacement system. The portable system will not only free the patients from visiting the clinic but also allow more frequent treatment that will lead to lower average waste level. To realize a portable system, the size and weight of hemodialysis system components should be reduced. This work analyzes the working principle of the pump and proposes a DC-motor and cam driven finger pump design. In addition, an analytical pump model is created for the optimization of the pump design. In vitro experiment conducted using the pump measured Creatinine levels over time, and the results validitate the design for the portable renal replacement system. The proposed pump design is smaller than 188 cm³ and consumes less than 4W while providing a flow rate of more than 100ml/min (the optimum flow rate for a portable system) for both blood and dialysate flows. The smallest pump of a portable renal replacement system in the literature uses check valves, which considerably increase the overall manufacturing cost and possibility of clogging. Compared to that pump, the proposed pump design achieved reduction in size by 40% and savings in energy consumption by 65% with the removal of valves. This simple and reliable design substantially enables development of a portable renal replacement system.